Individual
ISABELLE ANNE BRUNGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6839 COMMUNICATIONS PKWY, PLANO, TX 75024-5991
(469) 379-8222
Mailing address
2500 N HOUSTON ST APT 2104, DALLAS, TX 75219-7665
(816) 478-3574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
08/29/2024
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