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Individual

MRS. BRANDI MARIE RUNNELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2450 HOLCOMBE BLVD STE NB-34L, HOUSTON, TX 77021-2039
(832) 828-3660

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
305784
LA
363A00000X
Physician Assistant
Primary
PA11396
TX

Other

Enumeration date
09/13/2017
Last updated
03/17/2018
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