Individual
BRANDON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 HAMPTON RD, TEXARKANA, TX 75503-4600
(903) 244-0954
Mailing address
1401 HAMPTON RD, TEXARKANA, TX 75503-4600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2062050
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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