Individual
IRMA ALICIA BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 788-6113
Mailing address
209 MACON CRK, VICTORIA, TX 77901-3682
(361) 652-7178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
594567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
594567
NURSE PRACTITIONERS
TX
Enumeration date
08/05/2006
Last updated
10/04/2007
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