Individual
LESLIE BRACKEN
Active
Individual
LESLIE BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211341701
—
TX
01
—
8CK053
BCBS
TX
Enumeration date
06/02/2010
Last updated
12/06/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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