| |
1407 S Bridge St, Brady, TX 76825-6609 | |
(325) 597-5977 | |
(325) 597-9661 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1407 S Bridge St, Brady, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821119355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4151 (Texas) | Primary |
Provider Name | Stephen F Defiore |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1851490346 PECOS PAC ID: 0941297568 Enrollment ID: I20040429000522 |
Mailing Address | Practice Location Address |
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1407 S Bridge St, Brady, TX 76825-6609 Ph: (325) 597-5977 | 1407 S Bridge St, Brady, TX 76825-6609 Ph: (325) 597-5977 |
Dr. Stephen Frank Defiore, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1407 S Bridge St, Brady, TX 76825 Phone: 325-597-5977 Fax: 325-597-9661 |