Healthcare Provider Details

I. General information

NPI: 1659961209
Provider Name (Legal Business Name): ALLISON BRADY HAND MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 GASTON AVE
DALLAS TX
75246-2017
US

IV. Provider business mailing address

7706 VISTA RIDGE LN
SACHSE TX
75048-2672
US

V. Phone/Fax

Practice location:
  • Phone: 214-820-2806
  • Fax:
Mailing address:
  • Phone: 214-402-5827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number780360
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number1036811
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: