Brothers, Gail Cassandra

Brothers, Gail Cassandra is an sole proprietor health care provider with primary practice located at 6421 Camp Bowie Blvd Suite 306, Fort Worth TX 76116-5401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brothers, Gail Cassandra can be contacted via phone (817) 689-4744.

Contact Information

Primary practice address
6421 Camp Bowie Blvd Suite 306 Fort Worth TX 76116-5401
Phone: (817) 689-4744
Fax: (817) 207-0704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 25595 Texas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 25595 Texas

Profile Details

NPI number 1780761130
LBN Legal business name Brothers, Gail Cassandra
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jan 13th, 2016 - about 8 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 1780761130 NPPES
Texas MEDICAID 1172603-04

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