Individual
BRANDON JACOB HEIDAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4500 E SAM HOUSTON PKWY S, SUITE 215, PASADENA, TX 77505-3959
(281) 487-2786
(281) 487-3054
Mailing address
4500 E SAM HOUSTON PKWY S, SUITE 215, PASADENA, TX 77505-3959
(281) 487-2786
(281) 487-3054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1197246
TX
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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