Jennifer Brackeen, D.O.
Anesthesiology in Dallas, TX. Individual provider (NPI-1).
NPI number1679791024
StatusActive
Last updated in NPPESOct 3, 2012
Details
- NPI
- 1679791024
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Brackeen
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2007
- Last updated
- Oct 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | N5584 | TX | Yes |
| 207L00000X | Anesthesiology | OT011988 | PA |
Practice location
13601 Preston RdSte 1000w
Dallas, TX 75240-4911
Phone 972-715-5000
Mailing address
Po Box 650426Dallas, TX 75265-0426
Phone 972-715-5000
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