Individual
BRANDY J MCKELVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 600, HOUSTON, TX 77030-3000
(832) 325-7222
(713) 512-2247
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1921
TX
207RP1001X
Pulmonary Disease Physician
Primary
M1921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176052201
—
TX
05
—
176052202
—
TX
01
—
8F8256
BCBS
TX
Enumeration date
07/07/2006
Last updated
08/15/2016
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