| Robert Brady, DC | |
|
2929 Custer Rd, Suite 320, Plano, TX 75075-4418 | |
| (972) 867-8500 | |
| (972) 597-8509 |
| Full Name | Robert Brady |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Nutrition |
| Location | 2929 Custer Rd, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649383233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN1001X | Chiropractor - Nutrition | 9694 (Texas) | Primary |
| Provider Name | Brady Chiropractic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275715807 PECOS PAC ID: 1557411402 Enrollment ID: O20090616000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Brady, DC 2929 Custer Rd, Suite 320, Plano, TX 75075-4418 Ph: (972) 867-8500 | Robert Brady, DC 2929 Custer Rd, Suite 320, Plano, TX 75075-4418 Ph: (972) 867-8500 |
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