Provider Demographics
NPI:1023251584
Name:GRAMMER, BRIANA RENE (LAT)
Entity type:Individual
Prefix:MISS
First Name:BRIANA
Middle Name:RENE
Last Name:GRAMMER
Suffix:
Gender:F
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 S RYAN DR
Mailing Address - Street 2:3107
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-4265
Mailing Address - Country:US
Mailing Address - Phone:972-762-7651
Mailing Address - Fax:972-617-4344
Practice Address - Street 1:154 LOUISE RITTER BLVD
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-6520
Practice Address - Country:US
Practice Address - Phone:972-617-3535
Practice Address - Fax:972-617-4344
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT3311146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant