Brantley, Andre

Brantley, Andre is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Brantley, Andre can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4009
Fax:
Website:

Health care specialties

Profile Details

NPI number 1700243375
LBN Legal business name Brantley, Andre
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2016
Last updated Oct 30th, 2020 - about 5 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 1700243375 NPPES
Texas MEDICAID 355837101
Texas Other 355837102

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