Provider Demographics
NPI:1558131698
Name:NOGRADI, STEVEN ARMANDO (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ARMANDO
Last Name:NOGRADI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 W PARK ROW DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2054
Mailing Address - Country:US
Mailing Address - Phone:817-277-1111
Mailing Address - Fax:817-961-4593
Practice Address - Street 1:2920 W PARK ROW DR STE 100
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-2054
Practice Address - Country:US
Practice Address - Phone:817-277-1111
Practice Address - Fax:817-861-4593
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15857111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor