Organization
BROOKESIDE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN NICKERSON (PRESIDENT)
(224) 730-4210
Entity
Organization
Contact information
Practice address
1521 N COOPER ST STE 227, ARLINGTON, TX 76011-5523
(817) 656-4180
(682) 277-4397
Mailing address
1521 N COOPER ST STE 227, ARLINGTON, TX 76011-5523
(817) 656-4180
(682) 277-4397
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
09/14/2022
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