Organization
BRAVO HEALTH MID-ATLANTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENA POWELL PICKERING ESQ. (ATTORNEY)
(571) 401-5886
Entity
Organization
Contact information
Practice address
9623 BRAEBURN GLN, AUSTIN, TX 78729-2710
(512) 534-7482
Mailing address
500 GREAT CIRCLE RD, NASHVILLE, TN 37228-1309
(571) 401-5886
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
10/31/2024
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