Provider Demographics
NPI:1790526168
Name:SAUNDERS, BRANDON CADE (LMT)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:CADE
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 CROSSROADS DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-2022
Mailing Address - Country:US
Mailing Address - Phone:903-629-5846
Mailing Address - Fax:
Practice Address - Street 1:116 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-7437
Practice Address - Country:US
Practice Address - Phone:903-231-1911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-01
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX142180225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist