Stewart Elgen Braddock in Kirbyville - General Practice

Stewart Elgen Braddock - NPI 1578620431

Stewart Elgen Braddock is a General Practice in Kirbyville, Texas. Stewart Elgen Braddock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stewart Elgen Braddock is 1578620431. The last update date is 2007-07-08.

Stewart Elgen Braddock's current location address is 2091 South Margaret, Kirbyville, Texas. You can contact this provider via phone number 4094235519 and fax number 4094235519. The mailing address for Stewart Elgen Braddock is 2091 South Margaret, Kirbyville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stewart Elgen Braddock
Address 2091 South Margaret, Kirbyville, Texas
Phone Number 4094235519
Fax Number 4094235519
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1578620431
Provider Enumeration Date 2007-01-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2091 South Margaret
City Kirbyville
State Texas (TX)
Post Code 75956
Phone Number 4094235519
Fax Number 4094235519

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 13307
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Stewart Elgen Braddock

What is the Stewart Elgen Braddock's 1578620431?

The Stewart Elgen Braddock's NPI (National Provider Identifier) Number is 1578620431. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Stewart Elgen Braddock is physically located?

The Stewart Elgen Braddock is situated at the following address: 2091 South Margaret, Kirbyville, TX 75956.

What is the area of specialization for Stewart Elgen Braddock, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stewart Elgen Braddock is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did Stewart Elgen Braddock receive its 1578620431 assignment from the Centers for Medicare & Medicaid Services?

The Stewart Elgen Braddock was assigned its 1578620431 on 2007-01-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Stewart Elgen Braddock's details last updated?

The information pertaining to the Stewart Elgen Braddock, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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