Healthcare Provider Details

I. General information

NPI: 1811244221
Provider Name (Legal Business Name): BRANDI KAY EAKIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2012
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 POSEY AVE
CLIFTON TX
76634-1200
US

IV. Provider business mailing address

PO BOX 549
CLIFTON TX
76634-0549
US

V. Phone/Fax

Practice location:
  • Phone: 254-675-8621
  • Fax: 254-675-2254
Mailing address:
  • Phone: 254-675-8621
  • Fax: 254-675-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA07918
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: