Individual
BRANDI TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BURNSIDE STE 100, WICHITA FALLS, TX 76310-1128
(940) 400-6400
Mailing address
7 ANDREA CT, IOWA PARK, TX 76367-1061
(817) 894-7737
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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