Individual
BRANDIS F THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1321 SKYFLOWER LN, CELINA, TX 75009
(901) 356-5590
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
163531
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346758101
—
TX
01
—
8332UK
BCBS
TX
Enumeration date
07/09/2013
Last updated
07/13/2018
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