Brandee Shalese Pemberton, M.D.
Family Medicine in Weatherford, TX. Individual provider (NPI-1).
NPI number1154883569
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1154883569
- Entity type
- Individual (NPI-1)
- Name
- Brandee Shalese Pemberton
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2019
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | T9770 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
929 Hilltop DrWeatherford, TX 76086-5845
Phone 817-341-7670 · Fax 817-341-7678
Mailing address
929 Hilltop DrWeatherford, TX 76086-5845
Phone 817-341-7670 · Fax 817-341-7678
Other practice locations
7703 Floyd Curl Dr # 7795
San Antonio, TX 78229-3901
San Antonio, TX 78229-3901
Phone 210-358-3937
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