MEDICARE: DR BRAD STOWERS DPM PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	0900	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376698860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR BRAD STOWERS DPM PLLC

Provider Business Mailing Address
First Line	:	3109 CENTER POINT DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8433
Country	:	US
Telephone Number	:	956-682-8391
Fax Number	:	956-682-0018

Provider Business Practice Location Address
First Line	:	3109 CENTER POINT DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8433
Country	:	US
Telephone Number	:	956-682-8391
Fax Number	:	956-682-0018

Authorized Official
Title or Position	:	DOCTOR
Name	:	JAMES BRAD STOWERS
Credential	:	DPM
Telephone Number	:	956-682-8391

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	03/11/2009

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