Provider Demographics
NPI:1457578783
Name:NEEL, BRANDI (RDH)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:NEEL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10935 COUNTY ROAD 743
Mailing Address - Street 2:
Mailing Address - City:SWEENY
Mailing Address - State:TX
Mailing Address - Zip Code:77480-8252
Mailing Address - Country:US
Mailing Address - Phone:979-647-1247
Mailing Address - Fax:
Practice Address - Street 1:10935 COUNTY ROAD 743
Practice Address - Street 2:
Practice Address - City:SWEENY
Practice Address - State:TX
Practice Address - Zip Code:77480-8252
Practice Address - Country:US
Practice Address - Phone:979-647-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13285124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist