Individual
MARY C BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6210 JOHN RYAN DR, STE 101, FORT WORTH, TX 76132-4113
(817) 370-0840
(817) 370-1590
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H5846
TX
Other
Enumeration date
10/10/2006
Last updated
05/10/2021
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