Brandon Trimone Modkins

Preferred Provider Organization · Houston, TX

Individual Active NPI

NPI number 1164682357

Practice location

17207 Kendall Ridge Ln
Houston, TX 77095-5200
Phone
(281) 859-9793

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NPI record

NPI
1164682357
Entity type
Individual (Type 1)
Enumeration date
June 11, 2008
Last updated
June 11, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Preferred Provider Organization Primary 305R00000X 04799775 TX

About Brandon Modkins

Brandon Trimone Modkins is a healthcare provider registered in the NPI registry with the primary taxonomy Preferred Provider Organization (code 305R00000X). The practice location is 17207 Kendall Ridge Ln, Houston, TX 77095-5200. The NPI number 1164682357 was assigned on June 11, 2008 and the record was last updated on June 11, 2008.

Brandon Modkins lists a license in the registry: #04799775 (TX) for Preferred Provider Organization. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brandon Trimone Modkins?

The NPI number is 1164682357.

What is the phone number of Brandon Modkins?

The phone number listed for the practice location is (281) 859-9793.

Where is Brandon Modkins located?

17207 Kendall Ridge Ln, Houston, TX 77095-5200.

What is the taxonomy code for Brandon Modkins?

The primary taxonomy code is 305R00000X – Preferred Provider Organization.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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