Organization
BRACKEN MENTAL HEALTH A PROFESSIONAL ASSOCIATION.
Active
Other names
Bracken Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL W BRACKEN D.O. (PHYSICIAN)
(972) 278-5385
Entity
Organization
Contact information
Practice address
3200 SOUTHERN DR, #107, GARLAND, TX 75043-1549
(972) 278-5385
(972) 692-8687
Mailing address
3200 SOUTHERN DR, #107, GARLAND, TX 75043-1549
(972) 278-5385
(972) 692-8687
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
K6992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113612904
—
TX
Enumeration date
04/11/2007
Last updated
03/03/2015
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