Search › Texas › 225100000X
Brandon Park, DPT
NPI 1326504622 · on the registry since 2019
Practice
- Address
- 1600 W 38th St Ste 132
Austin, TX 78731 - Phone
- (512) 348-2515
- Fax
- (512) 961-8889
- Organisation at this address
- Vitae Clinic Inc
Seton Healthcare
Agilitas Usa, Inc
Renatus Health Llc
Nazrul Islam Md, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 147
Additional practice sites
- 100 Lindsey Ln Ste A, Saint Marys, GA
- 112 Newport Towne Ctr, Newport, TN
- 1520 E Greenville St Ste G, Anderson, SC
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X
225100000X
225100000X - Licence states on file
- WA, GA, SC, TN, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-12
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