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Organization
BROOKWOOD HEALTHCARE SYSTEMS, LLC
Active
Organization
BROOKWOOD HEALTHCARE SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEMETA B BRADLEY CMC (OWNER/OPERATOR)
(866) 616-9334
Entity
Organization
Contact information
Practice address
1805 WYLIE CREEK DR, DESOTO, TX 75115-1729
(866) 616-9334
(972) 230-1390
Mailing address
PO BOX 321, CEDAR HILL, TX 75106-0321
(866) 616-9334
(972) 230-1390
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
06/13/2013
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