Provider Demographics
NPI:1720106438
Name:STRANGE, BRANDY HOFFMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:HOFFMAN
Last Name:STRANGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 N KIMBALL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6886
Mailing Address - Country:US
Mailing Address - Phone:239-734-0007
Mailing Address - Fax:
Practice Address - Street 1:630 N KIMBALL AVE STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6886
Practice Address - Country:US
Practice Address - Phone:817-421-8777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93788207Q00000X
TXP6728207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H67409Medicare UPIN