Individual
DR. GRETA VANCE BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3417 GASTON AVE, SUITE 700, DALLAS, TX 75246
(214) 823-4800
(214) 823-4801
Mailing address
3417 GASTON AVE, SUITE 700, DALLAS, TX 75246
(214) 823-4800
(214) 823-4801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J2915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046190701
—
TX
01
—
87X761
BCBS
TX
Enumeration date
08/09/2006
Last updated
07/20/2021
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