MEDICARE: MARY E BRECHTEL DC 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	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0073MU	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1659396471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARY E BRECHTEL DC PLLC

Provider Business Mailing Address
First Line	:	6825 STEWART RD
Second Line	:
City	:	GALVESTON
State	:	TX
Zip	:	77551-1841
Country	:	US
Telephone Number	:	409-744-2225
Fax Number	:	409-744-2253

Provider Business Practice Location Address
First Line	:	6825 STEWART RD
Second Line	:
City	:	GALVESTON
State	:	TX
Zip	:	77551-1841
Country	:	US
Telephone Number	:	409-744-2225
Fax Number	:	409-744-2253

Authorized Official
Title or Position	:	OWNER
Name	:	MARY E BRECHTEL
Credential	:	D.C. DACBN
Telephone Number	:	409-744-2225

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/20/2024

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