Individual provider · NPI-1

Dr. Timothy Brandon, M.D.

Emergency Medicine · Bryan, TX

NPI number1851376974
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1851376974
Entity type
Individual (NPI-1)
Name
Dr. Timothy Brandon
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 12, 2005
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineJ8471TXYes

Practice location

2801 Franciscan Dr
Bryan, TX 77802-2544

Phone 979-776-4905

Mailing address

2803 Cimarron Ct
College Station, TX 77845-7721

Phone 979-776-4905

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