MEDICARE: NICHOLAS STEFANO FEDELE DC

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	14509	TX

General Provider Information

NPI Number	:	1720705593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS STEFANO FEDELE DC

Provider Business Mailing Address
First Line	:	2612 S LAMAR BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-4733
Country	:	US
Telephone Number	:	512-400-1241
Fax Number	:

Provider Business Practice Location Address
First Line	:	2612 S LAMAR BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-4733
Country	:	US
Telephone Number	:	512-400-1241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

Similar Medicare Providers

1912932070 — GAYLA HARRIS PT
Practice Location Address:

2612 S LAMAR BLVD , SUITE A
AUSTIN, TX
78704-4733

Practice Phone: 512-804-1100
Practice Fax: 512-804-1102

1538679741 — DR. MATTHEW KRISTOPHER DELGADO DC
Practice Location Address:

2612 S LAMAR BLVD # A
AUSTIN, TX
78704-4733

Practice Phone: 512-400-1241
Practice Fax:

1811548415 — SCOTT A MITCHELL
Practice Location Address:

2612 S LAMAR BLVD
AUSTIN, TX
78704-4733

Practice Phone: 512-400-1241
Practice Fax:

1811869613 — MS. ANTONIA GRACE DENISON
Practice Location Address:

2612 S LAMAR BLVD
AUSTIN, TX
78704-4733

Practice Phone: 512-400-1241
Practice Fax:

1982787347 — DR. ISAAC SEINUK D.D.S.
Practice Location Address:

7150 AUSTIN ST
FOREST HILLS, NY
11375-4733

Practice Phone: 718-263-3788
Practice Fax:

1932265451 — SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Practice Location Address:

411 AUSTIN ST
LEVELLAND, TX
79336-4733

Practice Phone: 806-894-6104
Practice Fax: 806-897-0835

Directions to “ NICHOLAS STEFANO FEDELE DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.