Individual
BROOKLYN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5070 TIERNEY CT N, FORT WORTH, TX 76112-2828
(682) 227-0600
Mailing address
301 W FM 1187 APT 3309, CROWLEY, TX 76036-3593
(682) 227-0600
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
05/14/2021
Last updated
02/21/2024
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