MEDICARE: DR. BRANDY FAITH HOWARD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	22355	TX

General Provider Information

NPI Number	:	1346303104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDY FAITH HOWARD DDS

Provider Business Mailing Address
First Line	:	184 TURNBERRY
Second Line	:
City	:	LA VERNIA
State	:	TX
Zip	:	78121-5111
Country	:	US
Telephone Number	:	210-382-4529
Fax Number	:

Provider Business Practice Location Address
First Line	:	8050 LINDBERGH LNDG
Second Line	:
City	:	BROOKS CITY-BASE
State	:	TX
Zip	:	78235-5334
Country	:	US
Telephone Number	:	210-382-4529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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