Provider Demographics
NPI:1972562916
Name:WACHEL, BRANDI (RN, NP)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:WACHEL
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 FANNIN ST STE 3000
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2948
Mailing Address - Country:US
Mailing Address - Phone:713-791-9100
Mailing Address - Fax:713-791-1016
Practice Address - Street 1:7900 FANNIN ST STE 3000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2948
Practice Address - Country:US
Practice Address - Phone:713-791-9100
Practice Address - Fax:713-791-1016
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX638641363LW0102X
TXAP109954363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health