Visage Integrative Medicine, LLC
NPI #1497345003 in San Angelo, Texas
Provider Information
- NPI Number
- 1497345003
- Entity Type
- Organization
- Organization Name
- Visage Integrative Medicine, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 19, 2021
- Last Updated
- Jan 19, 2021
Practice Location
- Address
- 3144 EXECUTIVE DR
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76904-6802
- Phone
- (325) 617-4594
Authorized Official
- Name
- SUSANN BRUNDRETT, MD
- Title
- OWNER/PROVIDER
- Phone
- (325) 234-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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