Search › Texas › 305R00000X
Brandon Modkins
NPI 1164682357 · on the registry since 2008 · sole proprietor
Practice
- Address
- 17207 Kendall Ridge Ln
Houston, TX 77095 - Phone
- (281) 859-9793
- Organisation at this address
- Cassandra Christine King
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 305R00000X
305R00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas