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Individual

BRANDON MAGALLANEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3415 PAESANOS PKWY STE 100, SAN ANTONIO, TX 78231-3501
(210) 600-9766
(210) 600-9767
Mailing address
338 W FORMOSA BLVD, SAN ANTONIO, TX 78221-2727
(210) 842-4629

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
344339
TX
363LF0000X
Family Nurse Practitioner
Primary
1212805
TX

Other

Enumeration date
12/08/2018
Last updated
10/14/2025
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