Brackins, Doris Gail

Brackins, Doris Gail is an sole proprietor health care provider with primary practice located at 525 N Sam Houston Pkwy E Suite 597, Houston TX 77060-4037. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brackins, Doris Gail can be contacted via phone (281) 272-1115.

Contact Information

Primary practice address
525 N Sam Houston Pkwy E Suite 597 Houston TX 77060-4037
Phone: (281) 272-1115
Fax: (281) 272-1117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10580 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11795 Texas

Profile Details

NPI number 1225252141
LBN Legal business name Brackins, Doris Gail
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 28th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225252141 NPPES
Texas MEDICAID 100535703

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