Most Relevant Information
Provider Data
| NPI Number: | 1003317454 |
| Provider Name: | BRITTANY MCKINZIE LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 209721 |
Most Important Dates
| Enumeration Date: | 02/21/2018 |
| Last Updated: | 02/21/2018 |
Provider Practice Location
104 THAMES
BULLARD
TX
757575483
Practice Location Phone/Fax
| Phone: | 9033726966 |
| Fax: | 9033726966 |
Provider Mailing Location
104 THAMES
BULLARD
TX
757575483
Provider Mailing Phone/Fax
| Phone: | 9033726966 |
| Fax: | 9033726966 |