Individual
BRANDY J KHODR
Active
Individual
BRANDY J KHODR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2017018048
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
2017018048
TX
363LG0600X
Gerontology Nurse Practitioner
2017018048
TX
Other
Enumeration date
10/03/2017
Last updated
07/21/2022
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