Healthcare Provider Details

I. General information

NPI: 1326903535
Provider Name (Legal Business Name): JACQUELINE BRUNDEGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELINE HARKINS

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 SIGEL AVE
NEW BRAUNFELS TX
78132-0014
US

IV. Provider business mailing address

241 SIGEL AVE
NEW BRAUNFELS TX
78132-0014
US

V. Phone/Fax

Practice location:
  • Phone: 949-923-7326
  • Fax:
Mailing address:
  • Phone: 949-923-7326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: