Provider Demographics
NPI:1467917435
Name:BRATTON HEALTHCARE ENTERPRISES PLLC
Entity Type:Organization
Organization Name:BRATTON HEALTHCARE ENTERPRISES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:NPC
Authorized Official - Phone:214-514-9205
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-0158
Mailing Address - Country:US
Mailing Address - Phone:214-514-9205
Mailing Address - Fax:817-419-9294
Practice Address - Street 1:2001 W FERGUSON RD STE 3000
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2973
Practice Address - Country:US
Practice Address - Phone:214-514-9205
Practice Address - Fax:817-419-9294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty