Individual
BRENNA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107-2644
(817) 735-2000
Mailing address
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107-2644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1244751
TX
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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