Provider Demographics
NPI:1255093266
Name:ESPARZA, BRITTNEY (CBE)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 HIGH GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-4202
Mailing Address - Country:US
Mailing Address - Phone:805-717-3684
Mailing Address - Fax:
Practice Address - Street 1:8340 HIGH GARDEN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-4202
Practice Address - Country:US
Practice Address - Phone:805-717-3684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty