Melody Rene Brady
Technician, Attendant Care Provider in Mesquite, TX. Individual provider (NPI-1).
NPI number1154068005
StatusActive
Last updated in NPPESMay 12, 2022
Details
- NPI
- 1154068005
- Entity type
- Individual (NPI-1)
- Name
- Melody Rene Brady
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2022
- Certification date
- May 12, 2022
- Last updated
- May 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 374U00000X | Home Health Aide | – | – |
Practice location
201 Planters Rd Apt 4cMesquite, TX 75182-9621
Phone 504-877-2648
Mailing address
201 Planters Rd Apt 4cSunnyvale, TX 75182-9621
Phone 504-877-2648
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