Brandon Trimone Modkins Valid NPI
Individual provider · Preferred Provider Organization · Houston, TX
- NPI
- 1164682357
- Type
- Individual (Type 1)
- Primary specialty
- Preferred Provider Organization
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305R00000X
- License number
- 04799775 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-06-11
- Last updated
- 2008-06-11
Practice location
17207 Kendall Ridge Ln
Houston, TX 77095-5200
(281) 859-9793