Provider Demographics
NPI:1801651518
Name:DEMESME-TROSCLAIR, BRANDY N
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:N
Last Name:DEMESME-TROSCLAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 SHADY PALMETTO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2236
Mailing Address - Country:US
Mailing Address - Phone:713-540-5761
Mailing Address - Fax:
Practice Address - Street 1:4122 SHADY PALMETTO DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2236
Practice Address - Country:US
Practice Address - Phone:713-540-5761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No252Y00000XAgenciesEarly Intervention Provider Agency