Provider Demographics
NPI:1063565125
Name:BRANDO, DENNIS M (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:M
Last Name:BRANDO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2914 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-5630
Mailing Address - Country:US
Mailing Address - Phone:713-227-2222
Mailing Address - Fax:713-227-7359
Practice Address - Street 1:6216 DASHWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4214
Practice Address - Country:US
Practice Address - Phone:713-271-4000
Practice Address - Fax:713-271-9254
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4203111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1406Medicare ID - Type Unspecified
TXU14148Medicare UPIN