Individual
BRANDON RICHARD HARTHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7211 PRESTON RD STE 1200, PLANO, TX 75024-0238
(469) 303-3000
(469) 303-4510
Mailing address
7211 PRESTON RD STE 1200, PLANO, TX 75024-0238
(469) 303-3000
(469) 303-4510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096004193
IL
363A00000X
Physician Assistant
333701
LA
363A00000X
Physician Assistant
Primary
PA18914
TX
Other
Enumeration date
01/03/2017
Last updated
06/03/2025
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