Individual
BRANDON BOOTH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, FNP-C
Contact information
Practice address
1150 N LOOP 1604 W STE 150, SAN ANTONIO, TX 78248-4505
(281) 783-8162
Mailing address
2925 BRIARPARK DR STE 575, HOUSTON, TX 77042-3776
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP121943
TX
363LF0000X
Family Nurse Practitioner
745979
TX
Other
Enumeration date
06/19/2012
Last updated
05/25/2022
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