Steven  W  Brooks    DC
Contract Details
Facility name
Provider ID
P000004638
NPI
1477747806
Tax ID
752666826
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4116 Sunset Dr
San Angelo, TX 76904
United States
County
Tom Green
Phone
3252235555 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address