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Individual

BRANDON BERTRILLE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4119 PRESIDENTS DR S., HOUSTON, TX 77047
(832) 865-9559
(832) 740-4045
Mailing address
4119 PRESIDENTS DR S, HOUSTON, TX 77047-6763
(832) 865-9559
(832) 740-4045

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
15133413
TX

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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