MR. Jeremiah C. Brack, PA-C

NPI #1366835068 in Flower Mound, Texas

Provider Information

NPI Number: 1366835068
Entity Type: Individual
Name: MR. Jeremiah C. Brack, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 5, 2015
Last Updated: Dec 7, 2021

Practice Location

Address: 4370 MEDICAL ARTS DR STE 230
City: Flower Mound
State: Texas
ZIP Code: 75028-1748
Phone: (972) 956-8181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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