Doctor Name: | SYNEDRA INEZ BRUMFIELD |
NPI Number: | 1215272182 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CST |
License Number: | 133075 |
Business Practice Address: | 2652 Lake Ridge Dr Little Elm, TX - 750683400 |
Business Phone Number: | 4696931577 |
Business Fax Number: | |
Mailing Address: | 2652 Lake Ridge Dr, LITTLE ELM |
State: | TX |
Postal Code: | 750683400 |
Phone Number: | 4696931577 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2012 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 133075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |