Provider Demographics
NPI:1174237887
Name:GIVENS, BRIANNE RENAE (RD)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:RENAE
Last Name:GIVENS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8841 FM 2450
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-8224
Mailing Address - Country:US
Mailing Address - Phone:361-522-3528
Mailing Address - Fax:
Practice Address - Street 1:8841 FM 2450
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:TX
Practice Address - Zip Code:76266-8224
Practice Address - Country:US
Practice Address - Phone:361-522-3528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86032025133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered