Basic Information
Provider Information
NPI: 1548710858
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BREUER
FirstName: BRANDI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2925 BRIARPARK DR STE 575
Address2:  
City: HOUSTON
State: TX
PostalCode: 770423776
CountryCode: US
TelephoneNumber: 8326262842
FaxNumber:  
Practice Location
Address1: 7407 BROADWAY
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782093337
CountryCode: US
TelephoneNumber: 2817838162
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/11/2016
LastUpdateDate: 10/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X1018272TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000X1018272TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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