BRANDON LOUIS SOUKUP

DALLAS, TX
NPI1467921411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  686187)
Enumeration Date2018-11-20
Last Update Date2018-11-20
Business Address
BRANDON LOUIS SOUKUP
7450 HOLLY HILL DR APT 104
DALLAS, TX 75231-5321
Phone number: 254-722-9724
Mailing Address
BRANDON LOUIS SOUKUP
7450 HOLLY HILL DR APT 104
DALLAS, TX 75231-5321
Phone number: 254-722-9724
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