Individual
BRANDON YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1373 N AVENUE C, ELGIN, TX 78621-1528
(512) 285-2459
Mailing address
9612 WOODVALE DR, AUSTIN, TX 78729-3563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2079283
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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