Individual
DR. JULIENNE BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6621 FANNIN ST, CC1510.00, HOUSTON, TX 77030-2303
(832) 822-4200
(832) 825-1453
Mailing address
6621 FANNIN ST, CC1510.00, HOUSTON, TX 77030-2303
(832) 822-4200
(832) 825-1453
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
N5585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211291401
—
TX
01
—
211291402
CSHCN
TX
Enumeration date
10/25/2006
Last updated
07/13/2011
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