# BROOKESIDE HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134878416
- **Authorized official:** COLIN NICKERSON (PRESIDENT)
- **Authorized official phone:** (224) 730-4210

## Contact information

- **Practice address:** 1521 N COOPER ST STE 227, ARLINGTON, TX 76011-5523
- **Practice address phone:** (817) 656-4180
- **Practice address fax:** (682) 277-4397
- **Mailing address:** 1521 N COOPER ST STE 227, ARLINGTON, TX 76011-5523
- **Mailing address phone:** (817) 656-4180
- **Mailing address fax:** (682) 277-4397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2022
- **Last updated:** 09/14/2022