MEDICARE: BRANDI C STARKS PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11032320	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1160093	TX

General Provider Information

NPI Number	:	1639923501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI C STARKS PMHNP

Provider Business Mailing Address
First Line	:	PO BOX 667009
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77266-7009
Country	:	US
Telephone Number	:	786-325-9797
Fax Number	:

Provider Business Practice Location Address
First Line	:	2016 DUNLAVY ST APT 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1763
Country	:	US
Telephone Number	:	346-297-2025
Fax Number	:	346-297-2058

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

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	05/29/2026

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