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NPI Code Detail

MEDICARE: MRS. BRANDI KAY PITCOX PNP

MEDICARE: MRS. BRANDI KAY PITCOX PNP
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
1363LP0200XPediatric Nurse Practitioner701128TX
2363LA2100XAcute Care Nurse PractitionerAP117263TX

General Provider Information

NPI Number : 1851549844
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRANDI KAY PITCOX PNP
Provider Business Mailing Address
First Line : 2908 ASHLEY LN
Second Line :
City : ANNA
State : TX
Zip : 75409-5256
Country : US
Telephone Number : 903-814-6139
Fax Number :
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-456-7718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 03/20/2024

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