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Individual

BRANDON HOLBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RVT

Contact information

Practice address
310 SAN MATEO CT, IRVING, TX 75062-4509
(817) 805-4001
Mailing address
310 SAN MATEO CT, IRVING, TX 75062-4509
(817) 805-4001

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
153257
LICENSE
TX
Enumeration date
01/12/2015
Last updated
01/12/2015
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