Michael Brackett
Michael Brackett is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1500 S Main StFort Worth, TX 76104-4917
Phone: (817) 702-1100
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1447002415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2024 |
| Last updated in NPPES | April 3, 2024 |
| Certification date | April 3, 2024 |
| Mailing address | 220 Highland Trl, Lagrange, GA 30240-3746 |
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