MEDICARE: BREE GEARY MA, MPH

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1538833520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREE GEARY MA, MPH

Provider Business Mailing Address
First Line	:	6609 SANTA FE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75223-1251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 ALAMO RD STE T-102
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2749
Country	:	US
Telephone Number	:	858-220-0319
Fax Number	:

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

Provider Enumeration Date	:	08/04/2021
Last Update Date	:	08/04/2021

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