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NPI Code Detail

MEDICARE: SANDRA Z. BROTHERS, MD, PA

MEDICARE: SANDRA Z. BROTHERS, MD, PA
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
1174400000XSpecialistJ8475TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10007QJOTHERTXBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598953234
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDRA Z. BROTHERS, MD, PA
Provider Business Mailing Address
First Line : 411 N WASHINGTON AVE STE 2700
Second Line :
City : DALLAS
State : TX
Zip : 75246-1735
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 411 N WASHINGTON AVE STE 2700
Second Line :
City : DALLAS
State : TX
Zip : 75246-1735
Country : US
Telephone Number : 214-823-7900
Fax Number :
Authorized Official
Title or Position : BILLING
Name : MARGARET KANNADY
Credential :
Telephone Number : 972-613-5379
Provider Enumeration Date : 10/09/2007
Last Update Date : 04/09/2012

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