Individual
KELLY RENEE BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000
Mailing address
3601 17TH ST N, TEXAS CITY, TX 77590-4002
(409) 256-1194
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1086326
TX
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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