person
Michael Brackett
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1447002415

Michael Brackett is a Student in an Organized Health Care Education/Training Program based in Lagrange, TX. Michael Brackett practices in Fort Worth, TX. The NPI Number for Michael Brackett is 1447002415 and holds a License No. (Texas).

The current practice location address for Michael Brackett is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-1100.

Location: 1500 S Main St, Fort Worth, TX, 30240-3746
person
Provider Profile Details
NPI Number
1447002415
Provider Name
Michael Brackett
Credential
Provider Entity Type
Individual
Gender
Male
Address
1500 S Main St, Fort Worth, TX, 30240-3746
Phone Number
817-702-1100
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
State
Zip
76104-4917
Phone Number
817-702-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
State
Zip
76104-4917
Phone Number
817-702-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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