BRACKEN MESARCH

EL PASO, TX
NPI1871357426
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  1167694)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: UT  9521708-4405)
Enumeration Date2024-02-13
Last Update Date2024-09-22
Business Address
BRACKEN MESARCH APRN
4455 SHADOW WILLOW DR
EL PASO, TX 79922-2220
Phone number: 808-927-0719
Mailing Address
BRACKEN MESARCH APRN
4815 ALAMEDA AVE
EL PASO, TX 79905-2705
Phone number: 808-927-0719