Provider Demographics
NPI:1447732524
Name:AZODI, ARIAN (DC)
Entity type:Individual
Prefix:DR
First Name:ARIAN
Middle Name:
Last Name:AZODI
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 1:22438 CORIANDER DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1520
Mailing Address - Country:US
Mailing Address - Phone:832-613-3812
Mailing Address - Fax:832-437-7385
Practice Address - Street 1:22911 CLAY RD STE 400
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-8202
Practice Address - Country:US
Practice Address - Phone:832-437-7380
Practice Address - Fax:832-437-7385
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor