Jill W. Bracken


Address: 3200 Southern Dr, Suite 107, Garland, TX 75043-1549

Jill W. Bracken (NPI# 1710053319, PAC ID# 0446282503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1710053319
PAC ID by PECOS 0446282503
Professional Enrollment ID I20050909000200
Full Name Jill W. Bracken
Address 3200 Southern Dr
Suite 107
Garland
TX 75043-1549
Gender F
Credential DO
Medical School UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Graduation Year 1994
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3200 Southern Dr, Suite 107, Garland, TX 75043-1549

Organization Information

Office Location

Street Address 3200 SOUTHERN DR
SUITE 107
City GARLAND
State TX
Zip 75043-1549

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Competitor

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City GARLAND
Zip Code 75043
Specialty PSYCHIATRY
City + Specialty GARLAND + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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