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Individual

DAREL MARTIN BRAZELTON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4040 BROADWAY STE 240, SAN ANTONIO, TX 78209-6300
(480) 262-2912
Mailing address
4040 BROADWAY STE 240, SAN ANTONIO, TX 78209-6300
(480) 262-2912

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary

Other

Enumeration date
01/27/2025
Last updated
02/06/2025
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