MEDICARE: BRANDI WACHEL RN, NP

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	363LW0102X	Women's Health Nurse Practitioner	638641	TX
2	363L00000X	Nurse Practitioner	AP109954	TX

General Provider Information

NPI Number	:	1972562916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI WACHEL RN, NP

Provider Business Mailing Address
First Line	:	7900 FANNIN ST STE 3000
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2948
Country	:	US
Telephone Number	:	713-791-9100
Fax Number	:	713-791-1016

Provider Business Practice Location Address
First Line	:	7900 FANNIN ST STE 3000
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2948
Country	:	US
Telephone Number	:	713-791-9100
Fax Number	:	713-791-1016

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

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	11/05/2020

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