Individual
MCKENNA MARIE BREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 648-2509
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(832) 928-2176
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
06/27/2019
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