Individual
BRIANNA SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1711 D STREET, FORT WORTH, TX 76127
(817) 782-5900
Mailing address
1711 D STREET, FORT WORTH, TX 76127
(817) 782-5900
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2083A0100X
Aerospace Medicine Physician
0101276078
VA
208D00000X
General Practice Physician
Primary
0101276078
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2021
Last updated
08/21/2024
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