Individual
BRANDI S HALBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4522
(903) 606-1300
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323974103
—
TX
05
—
323974105
—
TX
01
—
8384UM
BCBS
TX
01
—
P01706948
RAILROAD MEDICARE
TX
01
—
P01844387
RAIL ROAD MEDICARE
TX
Enumeration date
01/23/2013
Last updated
07/21/2017
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