| Steve Wascom, DC | |
|
1533 N Shepherd Dr Ste 240, Houston, TX 77008-4185 | |
| (832) 831-8656 | |
| Not Available |
| Full Name | Steve Wascom |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Sports Physician |
| Location | 1533 N Shepherd Dr Ste 240, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114642824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 15321 (Texas) | Primary |
| Provider Name | Vanguard Spine & Sport Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407360100 PECOS PAC ID: 3971862921 Enrollment ID: O20180119000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Wascom, DC 3101 College Park Dr, Conroe, TX 77384-4099 Ph: (281) 362-0006 | Steve Wascom, DC 1533 N Shepherd Dr Ste 240, Houston, TX 77008-4185 Ph: (832) 831-8656 |
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