Provider Demographics
NPI:1912573650
Name:GUESS, BRANDI (RT)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:GUESS
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RT
Mailing Address - Street 1:8250 MEADOW RD APT 5213
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3754
Mailing Address - Country:US
Mailing Address - Phone:469-679-7059
Mailing Address - Fax:
Practice Address - Street 1:8250 MEADOW RD APT 5213
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3754
Practice Address - Country:US
Practice Address - Phone:469-679-7059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02004034227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified