Gina M Brand in Dallas - Surgical

Gina M Brand - NPI 1548370901

Gina M Brand is a Surgical in Dallas, Texas. Gina M Brand practices all healthcare services and medical treatments related to Surgical. The NPI Number for Gina M Brand is 1548370901. The last update date is 2021-04-15.

Gina M Brand's current location address is 19200 Preston Rd Ste 120, Dallas, Texas. You can contact this provider via phone number 4692002832 and fax number 4692691074. The mailing address for Gina M Brand is 19200 Preston Rd Ste 120, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Gina M Brand
Address 19200 Preston Rd Ste 120, Dallas, Texas
Phone Number 4692002832
Fax Number 4692691074
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1548370901
Provider Enumeration Date 2006-08-30
Last Updated Date 2021-04-15

Provider Mailing Address Detail

Address 19200 Preston Rd Ste 120
City Dallas
State Texas (TX)
Post Code 752522450
Phone Number 4692002832
Fax Number 4692691074

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA04721
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA04721 TX STATE LICENSE
8Y0396 TX BCBS PROVIDER

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FAQs about Gina M Brand

What is the unique identifier code issued to Gina M Brand by the Centers for Medicare & Medicaid Services (CMS)?

The Gina M Brand has been assigned the NPI (National Provider Identifier) 1548370901. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Gina M Brand?

The Gina M Brand is situated at 19200 Preston Rd Ste 120, in the city of Dallas, state of TX, with the zip code 752522450.

What is Gina M Brand's area of expertise and its corresponding taxonomy classification?

The Gina M Brand's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.

On what date did Gina M Brand receive its 1548370901 assignment from the Centers for Medicare & Medicaid Services?

The Gina M Brand was assigned its 1548370901 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Gina M Brand last refreshed?

The information related to the Gina M Brand, including its address, specialty, and other relevant details, was last updated on 2021-04-15.

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