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NPI Code Detail

MEDICARE: JOAQUIM F BRAGA MA

MEDICARE: JOAQUIM F BRAGA MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor63433TX

General Provider Information

NPI Number : 1588898522
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAQUIM F BRAGA MA
Provider Business Mailing Address
First Line : 3990 SPRING VALLEY RD APT 938
Second Line :
City : DALLAS
State : TX
Zip : 75244-3492
Country : US
Telephone Number : 214-491-8364
Fax Number :
Provider Business Practice Location Address
First Line : 8222 DOUGLAS AVE STE 375
Second Line :
City : DALLAS
State : TX
Zip : 75225-5973
Country : US
Telephone Number : 214-905-5090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2009
Last Update Date : 05/05/2009

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Directions to “ JOAQUIM F BRAGA MA” Practice Location

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