Individual provider · Type 1 NPI

Brenda Funkhouser, CST/CSFA

Surgical Physician Assistant · Houston, TX

NPI number 1669112165 Active

Practice location

7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053

Fax (713) 779-9813

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X205973
Surgical Physician Assistant Primary 363AS0400X0136000573 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1669112165

Brenda Funkhouser, CST/CSFA's National Provider Identifier is 1669112165, issued on Mar 31, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Mar 31, 2022.