Provider Demographics
NPI:1750391207
Name:BRANDT-JONES, COURTENAY ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:COURTENAY
Middle Name:ELIZABETH
Last Name:BRANDT-JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 WILLIAMS DR
Mailing Address - Street 2:SUITE 123
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2764
Mailing Address - Country:US
Mailing Address - Phone:512-771-4439
Mailing Address - Fax:
Practice Address - Street 1:1625 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-3659
Practice Address - Country:US
Practice Address - Phone:512-943-4588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor