Provider Demographics
NPI:1801148804
Name:WASHER, BRANDI ELAINE (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:ELAINE
Last Name:WASHER
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 1:1249 BUTLER RD
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4873
Mailing Address - Country:US
Mailing Address - Phone:281-291-7997
Mailing Address - Fax:328-905-5124
Practice Address - Street 1:1249 BUTLER RD
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573
Practice Address - Country:US
Practice Address - Phone:281-291-7997
Practice Address - Fax:832-905-5124
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12131111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor