MEDICARE: BRATTON HEALTHCARE ENTERPRISES PLLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1467917435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRATTON HEALTHCARE ENTERPRISES PLLC

Provider Business Mailing Address
First Line	:	PO BOX 158
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-0158
Country	:	US
Telephone Number	:	214-514-9205
Fax Number	:	817-419-9294

Provider Business Practice Location Address
First Line	:	2001 W FERGUSON RD STE 3000
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2973
Country	:	US
Telephone Number	:	214-514-9205
Fax Number	:	817-419-9294

Authorized Official
Title or Position	:	CEO
Name	:	SHELETHA BRATTON
Credential	:	NPC
Telephone Number	:	214-514-9205

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	08/30/2023

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