Provider Demographics
NPI:1083176085
Name:MCNEAL, BRANDY LARIE (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:LARIE
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
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Mailing Address - Street 1:3700 LAPALCO BLVD
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2311
Mailing Address - Country:US
Mailing Address - Phone:713-992-9857
Mailing Address - Fax:
Practice Address - Street 1:3700 LAPALCO BLVD
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2311
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist