Braxton Medical Clinic, Llc

LBN: Braxton Medical Clinic, Llc
Braxton Medical Clinic, Llc is an health care organization with primary practice located at 1410 Kensington Square Ct Ste 103 , Murfreesboro TN 37130-6902. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Braxton Medical Clinic, Llc can be contacted via phone (615) 900-1659, or through Tsibu, John George via phone (615) 900-1659.

Contact Information

Primary practice address
1410 Kensington Square Ct Ste 103 Murfreesboro TN 37130-6902
Phone: (615) 900-1659
Fax: (615) 912-9997
Website:
Map and Directions
Authorized official contact:
Name: Tsibu, John George NP-C
Phone: (615) 900-1659

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1780281527
LBN Legal business name Braxton Medical Clinic, Llc
DBA Doing business as
Authorized official Tsibu, John George NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2020
Last updated Oct 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780281527 NPPES
Tennessee MEDICAID Q018514

Popular Providers