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Organization
FUNCTIONAL HEALING, PLLC
Active
Organization
FUNCTIONAL HEALING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY DANIELLE VANDERGRIFFT NP (OWNER, NURSE PRACTITIONER)
(979) 614-0115
Entity
Organization
Contact information
Practice address
207 THAT WAY ST STE C, LAKE JACKSON, TX 77566-5211
(979) 614-0115
(979) 614-0116
Mailing address
207 THAT WAY ST STE C, LAKE JACKSON, TX 77566-5211
(979) 614-0115
(979) 614-0116
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
03/11/2026
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