Organization
BREIO HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN THOMAS FARRAR (DIRECTOR OF OPERATIONS)
(817) 657-4894
Entity
Organization
Contact information
Practice address
2507 MEDICAL ROW, GRAND PRAIRIE, TX 75051-1070
(817) 657-4894
Mailing address
520 E VINE ST, KELLER, TX 76244-3919
(817) 657-4894
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
—
—
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139
1497252139
TX
Enumeration date
04/04/2019
Last updated
04/04/2019
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