Brenda Washington

NPI 1326563008 · on the registry since 2017 · sole proprietor

Practice

Address: 4813 Trail Lake Dr
Fort Worth, TX 76133
Phone: (817) 902-3631
Fax: (817) 902-3631

Registry record

Primary taxonomy: 253Z00000X
253Z00000X
Also registered as: 251B00000X
251G00000X
261QM0850X
372500000X
251S00000X
261QC1500X
372600000X
373H00000X
3747A0650X
3747P1801X
374U00000X
376K00000X
390200000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-01-02

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