Whitney Brandon, CO/LPO
in San Angelo, TX. Individual provider (NPI-1).
NPI number1144723560
StatusActive
Last updated in NPPESMar 12, 2018
Details
- NPI
- 1144723560
- Entity type
- Individual (NPI-1)
- Name
- Whitney Brandon
- Credential
- CO/LPO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2018
- Last updated
- Mar 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | 1784 | TX | Yes | |
| 224P00000X | Prosthetist | 1784 | TX |
Practice location
3001 S Jackson StSan Angelo, TX 76904-5129
Phone 325-223-6300
Mailing address
4601 Hartford StAbilene, TX 79605-4603
Phone 325-793-3400 · Fax 325-793-3587
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