Brandon Trimone Modkins

NPI #1164682357 in Houston, Texas

Provider Information

NPI Number
1164682357
Entity Type
Individual
Name
Brandon Trimone Modkins
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jun 11, 2008
Last Updated
Jun 11, 2008

Practice Location

Address
17207 KENDALL RIDGE LN
State
Texas
ZIP Code
77095-5200
Phone
(281) 859-9793

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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