Individual
DR. BRENNA J NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 BOOTH CALLOWAY RD, NORTH RICHLAND HILLS, TX 76180-7371
(972) 758-3598
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J8329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137653510
—
TX
01
—
84458F
BCBS
TX
01
—
P00098357
RAILROAD
TX
Enumeration date
12/21/2005
Last updated
12/05/2007
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