Individual
KEITH E BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7103 HIDDEN TRAILS CT, SUGAR LAND, TX 77479-6205
(281) 344-8900
(281) 344-8926
Mailing address
7103 HIDDEN TRAILS CT, SUGAR LAND, TX 77479-6205
(281) 545-1964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2025641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2025741
STATE LICENSE
TX
Enumeration date
05/16/2007
Last updated
07/08/2007
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