Basic Information
| Provider Information | |||||||||
| NPI: | 1972562916 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WACHEL | ||||||||
| FirstName: | BRANDI | ||||||||
| MiddleName: | |||||||||
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| Credential: | RN, NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7900 FANNIN ST STE 3000 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770542948 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137919100 | ||||||||
| FaxNumber: | 7137911016 | ||||||||
| Practice Location | |||||||||
| Address1: | 7900 FANNIN ST STE 3000 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770542948 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137919100 | ||||||||
| FaxNumber: | 7137911016 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2006 | ||||||||
| LastUpdateDate: | 11/05/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 638641 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health | 363L00000X | AP109954 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.