Individual provider · Type 1 NPI

Brandye Shavaun Tankersley

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1114078672 Active

Practice location

5319 Newkirk Ln
Houston, TX 77021-3133

Call (713) 492-0990 Map

Mailing address

2216 Chenevert St # 6
Houston, TX 77003-5833

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114078672

Brandye Shavaun Tankersley's National Provider Identifier is 1114078672, issued on Jan 12, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.