Organization
BEBD TELEHEALTH
Active
Other names
BEBD Telehealth, BIg Easy Bad Dog LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BRADDOCK (CEO)
(817) 437-3077
Entity
Organization
Contact information
Practice address
2009 TREMONT AVE, FORT WORTH, TX 76107-3959
(817) 437-3077
Mailing address
2009 TREMONT AVE, FORT WORTH, TX 76107-3959
(817) 437-3077
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
12/20/2019
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