Betty Jean Brown-Trask in Dallas - Pediatrics

Betty Jean Brown-Trask - NPI 1649221169

Betty Jean Brown-Trask is a Pediatrics in Dallas, Texas. Betty Jean Brown-Trask practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Betty Jean Brown-Trask is 1649221169. The last update date is 2022-02-10.

Betty Jean Brown-Trask's current location address is 3310 Live Oak St, Dallas, Texas. You can contact this provider via phone number 2142661257. The mailing address for Betty Jean Brown-Trask is 3310 Live Oak St, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Betty Jean Brown-Trask
Address 3310 Live Oak St, Dallas, Texas
Phone Number 2142661257
Fax Number
Sole Proprietor N
Credentials PNP-BC, FN

NPI Number Detail

NPI Number 1649221169
Provider Enumeration Date 2006-05-12
Last Updated Date 2022-02-10

Provider Mailing Address Detail

Address 3310 Live Oak St
City Dallas
State Texas (TX)
Post Code 7520461530
Phone Number 2142661257
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 524863
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8Y0761 TX BLUE CROSS BLUE SHIELD
108059003 TX --
108059008 TX --
108059007 TX --

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FAQs about Betty Jean Brown-Trask

What is the unique 10-digit identification code issued to Betty Jean Brown-Trask by the Centers for Medicare & Medicaid Services?

The Betty Jean Brown-Trask has been assigned the NPI (National Provider Identifier) 1649221169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Betty Jean Brown-Trask is physically located?

The Betty Jean Brown-Trask is situated at the following address: 3310 Live Oak St, Dallas, TX 7520461530.

What is Betty Jean Brown-Trask's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Betty Jean Brown-Trask is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.

On what date did the Betty Jean Brown-Trask receive its 1649221169 assignment from the Centers for Medicare & Medicaid Services?

The Betty Jean Brown-Trask was assigned its 1649221169 by the Centers for Medicare & Medicaid Services on 2006-05-12.

As of what date were the Betty Jean Brown-Trask's details last updated?

The information pertaining to the Betty Jean Brown-Trask, including its address, specialty, and other details, was most recently updated on 2022-02-10.

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