Individual
BRANDON KEITH VAN DEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2808 S MAIN ST, LINDALE, TX 75771-7774
(903) 881-5799
Mailing address
2808 S MAIN ST, LINDALE, TX 75771-7774
(903) 881-5799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1029926
TX
Other
Enumeration date
06/12/2020
Last updated
07/02/2021
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