Individual
MRS. BRANDI M. COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2903 JUDSON RD, LONGVIEW, TX 75605-1803
(903) 663-6332
(903) 663-6347
Mailing address
2903 JUDSON RD, LONGVIEW, TX 75605-1803
(903) 663-6332
(903) 663-6347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1170890
TX
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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