MEDICARE: BRYANA DECHAL REMBLE

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1467334326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANA DECHAL REMBLE

Provider Business Mailing Address
First Line	:	7616 PACIFIC PL APT 2048
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-4649
Country	:	US
Telephone Number	:	817-231-9969
Fax Number	:

Provider Business Practice Location Address
First Line	:	7616 PACIFIC PL APT 2048
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-4649
Country	:	US
Telephone Number	:	817-231-9969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	07/22/2025

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Directions to “ BRYANA DECHAL REMBLE ” Practice Location

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