Brandon Jordan Hom
Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).
NPI number1265327183
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1265327183
- Entity type
- Individual (NPI-1)
- Name
- Brandon Jordan Hom
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2025
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1111 W 17th StTulsa, OK 74107-1886
Phone 918-582-1972
Mailing address
4212 Nw 144th StOklahoma City, OK 73134-1733
Phone 903-505-9538
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