Provider Demographics
NPI:1588981500
Name:ELROD, BRANDON SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:SCOTT
Last Name:ELROD
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1329 W WALNUT HILL LN STE 102
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3027
Mailing Address - Country:US
Mailing Address - Phone:940-843-1455
Mailing Address - Fax:972-535-0441
Practice Address - Street 1:1329 W WALNUT HILL LN STE 102
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3027
Practice Address - Country:US
Practice Address - Phone:940-843-1455
Practice Address - Fax:972-535-0441
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ28952083P0011X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine