Provider Demographics
NPI:1699182667
Name:REPUBLIC HEALTH SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:REPUBLIC HEALTH SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALLING ASSOCIATE
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-378-4661
Mailing Address - Street 1:10740 N CENTRAL EXPY STE 275
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2166
Mailing Address - Country:US
Mailing Address - Phone:214-378-4661
Mailing Address - Fax:888-624-8659
Practice Address - Street 1:1411 N BECKLEY AVE STE 152
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1586
Practice Address - Country:US
Practice Address - Phone:214-378-4661
Practice Address - Fax:888-624-8659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2682207LP2900X
TXL8186207LP2900X
TXM9610207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty