Provider Demographics
NPI:1639704059
Name:BATTS, BRENDA MONICA (EDD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:MONICA
Last Name:BATTS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 KACIE DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-5876
Mailing Address - Country:US
Mailing Address - Phone:254-743-9705
Mailing Address - Fax:
Practice Address - Street 1:815 KACIE DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-5876
Practice Address - Country:US
Practice Address - Phone:254-743-9705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
03241961OtherBIRTHDAY