Healthcare Provider Details

I. General information

NPI: 1841125853
Provider Name (Legal Business Name): BRANDY L FLANNAGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 BRIARWOOD ST
ABILENE TX
79603-5705
US

IV. Provider business mailing address

817 BRIARWOOD ST
ABILENE TX
79603-5705
US

V. Phone/Fax

Practice location:
  • Phone: 325-455-5477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number1054900
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: