Mark Braswell

NPI 1023409422 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1023409422
Gender Male
Enumeration Date 02/07/2015
Last Updated 02/07/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2200 BERGQUIST DR
STE 1
JBSA LACKLAND TX, 78236-9907, US
Phone (210) 916-5545
Fax
Business Location
2200 BERGQUIST DR
STE 1
JBSA LACKLAND TX, 78236-9907, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mark Braswell NPI is 1023409422, taxonomy code is 390200000X Mark Braswell physically located at 2200 Bergquist Dr, Jbsa Lackland TX, 78236-9907. NPI Number Mark Braswell has the Individual type.

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1023409422 NPI number is provided on an as is basis without warranty of any kind. 1023409422 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Braswell are for informational purposes only.