Individual
DR. HEATHER MARIE BRANDFELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-2500
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Q7329
TX
2086S0102X
Surgical Critical Care Physician
Q7329
TX
2086S0127X
Trauma Surgery Physician
Primary
Q7329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357894001
—
TX
01
—
357894002
CSHCN
TX
Enumeration date
06/04/2009
Last updated
06/11/2020
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