Individual
BRANDY D WELLMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6500 NORTH MOPAC, BLDG. III SUITE 200, AUSTIN, TX 78731
(512) 458-8400
(512) 458-8593
Mailing address
6500 NORTH MOPAC, BLDG. III SUITE 200, AUSTIN, TX 78731
(512) 458-8400
(512) 458-8593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04437
TX
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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