Provider Demographics
NPI:1487816815
Name:FARIDI, BABUSH (DC)
Entity type:Individual
Prefix:DR
First Name:BABUSH
Middle Name:
Last Name:FARIDI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11903 KATY FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1601
Mailing Address - Country:US
Mailing Address - Phone:281-556-5200
Mailing Address - Fax:281-556-5251
Practice Address - Street 1:11903 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1601
Practice Address - Country:US
Practice Address - Phone:281-556-5200
Practice Address - Fax:281-556-5251
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10305111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition