BRANDON TRIMONE MODKINS

HOUSTON, TX
NPI1164682357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: TX  04799775)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
-- BRANDON TRIMONE MODKINS
17207 KENDALL RIDGE LN
HOUSTON, TX 77095-5200
Phone number: 281-859-9793
Mailing Address
-- BRANDON TRIMONE MODKINS
17207 KENDALL RIDGE LN
HOUSTON, TX 77095-5200
Phone number: 281-859-9793
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