Individual
BRANDON PALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W SOUTHLAKE BLVD STE 200, SOUTHLAKE, TX 76092-6166
(817) 421-6530
(817) 488-2476
Mailing address
3663 BRIARPARK DR, HOUSTON, TX 77042-5205
(713) 268-3630
(623) 869-1717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51720
TX
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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