Provider Demographics
NPI:1396294294
Name:STEPP, NEAL PATRICK (DAT, LAT, ATC)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:PATRICK
Last Name:STEPP
Suffix:
Gender:M
Credentials:DAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6116 MADOC FORK DR.
Mailing Address - Street 2:APT. 1218
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116
Mailing Address - Country:US
Mailing Address - Phone:317-410-7152
Mailing Address - Fax:
Practice Address - Street 1:2800 STADIUM DRIVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109
Practice Address - Country:US
Practice Address - Phone:317-410-7152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN390200000X
TXAT86072083S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program