Provider Demographics
NPI:1750819918
Name:OLIVER, BRANDY
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14614 FALLING CREEK DR STE 226
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2937
Mailing Address - Country:US
Mailing Address - Phone:832-602-5144
Mailing Address - Fax:713-561-3662
Practice Address - Street 1:14614 FALLING CREEK DR STE 226
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2937
Practice Address - Country:US
Practice Address - Phone:832-602-5144
Practice Address - Fax:713-561-3662
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide