Provider Demographics
NPI:1184385346
Name:KRAMER, BRENDA M (LVN)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:M
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GOMEZ, CHAVERA
Mailing Address - Street 1:8700 CROWHILL BLVD SUITE 300
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-824-5530
Mailing Address - Fax:210-824-5323
Practice Address - Street 1:8700 CROWHILL BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209
Practice Address - Country:US
Practice Address - Phone:210-824-5530
Practice Address - Fax:210-824-5323
Is Sole Proprietor?:No
Enumeration Date:2022-01-09
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX232360164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse