Juanita Denae Bracy in Dallas - Athletic Trainer
Juanita Denae Bracy - NPI 1396855813
Juanita Denae Bracy is a Athletic Trainer in Dallas, Texas. Juanita Denae Bracy practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Juanita Denae Bracy is 1396855813. The last update date is 2022-04-03.
Juanita Denae Bracy's current location address is 700 N Pearl St Ste N208, Dallas, Texas. You can contact this provider via phone number 2149999355. The mailing address for Juanita Denae Bracy is 700 N Pearl St Ste N208, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juanita Denae Bracy |
|---|---|
| Address | 700 N Pearl St Ste N208, Dallas, Texas |
| Phone Number | 2149999355 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C, MPA, |
NPI Number Detail
| NPI Number | 1396855813 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2022-04-03 |
Provider Mailing Address Detail
| Address | 700 N Pearl St Ste N208 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752017430 |
| Phone Number | 2149999355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 12000864 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126000864 | VA | ATC VIRGINIA LICENSE | |
| PA15256 | TX | -- | |
| 70402592 | CA | NATA BOC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Juanita Denae Bracy by the Centers for Medicare & Medicaid Services?
The Juanita Denae Bracy has been issued the NPI (National Provider Identifier) 1396855813 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Juanita Denae Bracy is physically located?
The Juanita Denae Bracy is physically situated at the following address: 700 N Pearl St Ste N208, Dallas, TX, 752017430.
What is Juanita Denae Bracy's area of expertise and its corresponding taxonomy classification?
The Juanita Denae Bracy's field of specialization is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1396855813 to Juanita Denae Bracy?
The Juanita Denae Bracy received its 1396855813 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Juanita Denae Bracy last refreshed?
The information related to the Juanita Denae Bracy, including its address, specialty, and other relevant details, was last updated on 2022-04-03.
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