Individual
MR. BRANDON WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1201 W FRANK AVE FL 5, LUFKIN, TX 75904-3357
(936) 899-7350
Mailing address
8 WOODHUE CT, LUFKIN, TX 75904-4318
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330782
TX
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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