SearchTexas237600000X

Jennifer Middlebrooks, HID

NPI 1669088985 · on the registry since 2020 · sole proprietor

Practice

Address
4625 Boat Club Rd Ste 257
Fort Worth, TX 76135
Phone
(817) 346-6464
Fax
(817) 238-0054
Organisation at this address
C M Persons M D P A
Dental Boat Club P.C
George Kostohryz, Jr., M.D., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
237600000X
237600000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas