OrganizationActive
629 Twelve Oaks. LLC
NPI 1568844751 · Surgical Technologist · Dallas, TX
Provider details
- NPI number
- 1568844751
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Bridget Brady, Owner
Practice location
4516 Lovers Ln
St 331
Dallas, TX 75225-6925
Phone: (214) 315-6432
Fax: (214) 317-4667
Mailing address
4516 Lovers Ln
Dallas, TX 75225-6925
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2015-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.