Individual
TRACEY BRIZENDINE VAANDRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COM
Contact information
Practice address
701 BRIZENDINE RD, LIBERTY HILL, TX 78642-4987
(737) 247-6960
Mailing address
701 BRIZENDINE RD, LIBERTY HILL, TX 78642-4987
(737) 247-6960
(512) 419-1708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
04/14/2024
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