Individual
BRANDY J KHODR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, AGACNP-BC
Contact information
Practice address
8307 KNIGHT RD, HOUSTON, TX 77054
(713) 796-9955
Mailing address
PO BOX 3345, HOUSTON, TX 77253-3345
(713) 796-9955
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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