Individual
BRANDON WAYNE VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 338-6565
Mailing address
909 FROSTWOOD DR STE 1.100, HOUSTON, TX 77024-2301
(713) 338-5519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN109960
LA
363LF0000X
Family Nurse Practitioner
835831
TX
363LF0000X
Family Nurse Practitioner
Primary
AP123619
TX
Other
Enumeration date
07/10/2009
Last updated
09/25/2024
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