| Revive Chiropractic And Performance | |
|
4655 Sweetwater Blvd Ste 200, Sugar Land, TX 77479-3015 | |
| (281) 909-7317 | |
| Not Available |
| Full Name | Revive Chiropractic And Performance |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4655 Sweetwater Blvd Ste 200, Sugar Land, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114784808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | David Zachary Brazzell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386284586 PECOS PAC ID: 1254769524 Enrollment ID: I20200319002349 |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Chiropractic And Performance 4655 Sweetwater Blvd Ste 200, Sugar Land, TX 77479-3015 Ph: (281) 909-7317 | Revive Chiropractic And Performance 4655 Sweetwater Blvd Ste 200, Sugar Land, TX 77479-3015 Ph: (281) 909-7317 |
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Dr. Tara Ann Parker, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 54 Sugar Creek Center Blvd, Ste. 100, Sugar Land, TX 77478 Phone: 281-494-1690 Fax: 281-494-1691 | |
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