Organization
BRIDGE BREAST CENTER
Active
Other names
The Bridge Breast Network
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY WILSON-GRAY MPA (EXECUTIVE DIRECTOR)
(214) 821-3820
Entity
Organization
Contact information
Practice address
4000 JUNIUS ST, DALLAS, TX 75246-1622
(214) 821-3820
(214) 821-0869
Mailing address
4000 JUNIUS ST, DALLAS, TX 75246-1622
(214) 821-3820
(214) 821-0869
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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