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NPI Code Detail

MEDICARE: BRANDON JOUBERT

MEDICARE:   BRANDON  JOUBERT
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
13104A0625XAssisted Living Facility (Mental Illness)TX

General Provider Information

NPI Number : 1437011376
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON JOUBERT
Provider Business Mailing Address
First Line : 19 KNOTTY PINE LN
Second Line :
City : ORANGE
State : TX
Zip : 77630-3301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19 KNOTTY PINE LN
Second Line :
City : ORANGE
State : TX
Zip : 77630-3301
Country : US
Telephone Number : 409-670-2974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ BRANDON JOUBERT ” Practice Location

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