Most Relevant Information
Provider Data
NPI Number: | 1003387861 |
Provider Name: | BRANDI DUNFORD FNP-C |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | AP139625 |
Most Important Dates
Enumeration Date: | 12/05/2018 |
Last Updated: | 12/05/2018 |
Provider Practice Location
910 E HOUSTON ST STE 330
TYLER
TX
757028368
Practice Location Phone/Fax
Phone: | 9036067995 |
Fax: |
Provider Mailing Location
910 E HOUSTON ST STE 330
TYLER
TX
757028368
Provider Mailing Phone/Fax
Phone: | |
Fax: |