Organization
SANDRA Z. BROTHERS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET KANNADY (BILLING)
(972) 613-5379
Entity
Organization
Contact information
Practice address
411 N WASHINGTON AVE STE 2700, DALLAS, TX 75246-1735
(214) 823-7900
Mailing address
411 N WASHINGTON AVE STE 2700, DALLAS, TX 75246-1735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J8475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007QJ
BC/BS
TX
05
—
143857401
—
TX
Enumeration date
10/09/2007
Last updated
04/09/2012
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