Organization
BEBD TELEHEALTH
Active
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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