Brand, Gina M

Brand, Gina M is an individual health care provider with primary practice located at 19200 Preston Rd Ste 120 , Dallas TX 75252-2450. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Brand, Gina M can be contacted via phone (469) 200-2832.

Contact Information

Primary practice address
19200 Preston Rd Ste 120 Dallas TX 75252-2450
Phone: (469) 200-2832
Fax: (469) 269-1074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04721 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA04721 Texas

Profile Details

NPI number 1548370901
LBN Legal business name Brand, Gina M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548370901 NPPES
Texas Other PA04721 STATE LICENSE
Texas Other 8Y0396 STATE LICENSE

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