Individual
DENA BRELSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1401 W JEFFERSON BLVD, DALLAS, TX 75208-5326
(214) 941-9200
Mailing address
444 SW CENTER ST, PO BOX 187, FASION, NC 28341-2834
(910) 267-0421
(910) 267-8989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA01475
PHYSICIAN ASSISTANTS
TX
Enumeration date
07/28/2006
Last updated
04/03/2017
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