Individual
BRANDON LADARIUS WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(214) 576-8007
Mailing address
4840 ALOP ST, FORT BLISS, TX 79906-3829
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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