NPI 1053791061

Bridge Breast Center

Organisation Case Management Agency Dallas, TX

Practice location

Address: 4000 Junius St, Dallas, TX 75246-1622
Phone: (214) 821-3820
Fax: (214) 821-0869

Authorised official

Name: Terry Wilson-Gray
Title: Executive Director
Phone: (214) 821-3820

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1053791061
Entity type: Organization
NPI issued: 4 Jun 2015
Record last updated: 4 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.