Individual
BRANDON CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2122 KIDWELL ST, DALLAS, TX 75214-3913
(817) 726-3118
Mailing address
PO BOX 140851, DALLAS, TX 75214-0851
(817) 726-3118
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
09/19/2014
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