Doctor Name: | BRIANA BOTKINS |
NPI Number: | 1023404282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4018 Fernwood Dr Garland, TX - 750426105 |
Business Phone Number: | 4697040396 |
Business Fax Number: | |
Mailing Address: | 4018 Fernwood Dr, GARLAND |
State: | TX |
Postal Code: | 750426105 |
Phone Number: | 4697040396 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2015 |
NPI Last Update Date: | 04/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |