Provider Demographics
NPI:1356647226
Name:STECK, BRENT STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:STEPHEN
Last Name:STECK
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2219 SAWDUST RD
Mailing Address - Street 2:STE 801
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2580
Mailing Address - Country:US
Mailing Address - Phone:281-364-1496
Mailing Address - Fax:281-364-1489
Practice Address - Street 1:5 GROGANS PARK DR
Practice Address - Street 2:SUITE 103
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2189
Practice Address - Country:US
Practice Address - Phone:281-364-1496
Practice Address - Fax:281-364-1489
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2020-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX11674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor