Individual
BRANDON CHASE CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 WORTH ST STE 400, DALLAS, TX 75246-2092
(214) 370-1300
(214) 370-1313
Mailing address
6125 LUTHER LN # 329, OB HOSPITALISTS OF TEXAS, DALLAS, TX 75225-6202
(214) 594-7684
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P9544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334772603
—
TX
Enumeration date
04/05/2010
Last updated
06/21/2019
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