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Individual

MRS. BRANDY BOEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-1000
Mailing address
1102 BATES AVE STE 245, HOUSTON, TX 77030-2698
(832) 824-3839

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
130796
TX
363LP0200X
Pediatric Nurse Practitioner
201008023
MO

Other

Enumeration date
03/14/2010
Last updated
09/22/2018
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