Brookwood Healthcare Systems, LLC
Nurse Practitioner in Desoto, TX. Organization (NPI-2).
NPI number1164869863
StatusActive
Last updated in NPPESJun 13, 2013
Details
- NPI
- 1164869863
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookwood Healthcare Systems, LLC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2013
- Last updated
- Jun 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
1805 Wylie Creek DrDesoto, TX 75115-1729
Phone 866-616-9334 · Fax 972-230-1390
Mailing address
Po Box 321Cedar Hill, TX 75106-0321
Phone 866-616-9334 · Fax 972-230-1390
Authorized official
Alemeta B Bradley
Owner/Operator
8666169334
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