DELORIS BRANNON (NPI# 1497399463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497399463 |
| Entity Type | Individual |
| Full Name | DELORIS BRANNON |
| Credential | APRN, FNP |
| Practice Address |
5138 Lakeside Dr Port Arthur TX 77642-1144 |
| Practice Telephone | 4092170655 |
| Mailing Telephone | 4092170655 |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2019-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP141493 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5138 LAKESIDE DR |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819689 | Taylored Family Healthcare Services, Pllc | Nurse Practitioner | 6033 Reba Dr, Port Arthur, TX 77640-2151 | 2020-04-03 |
| 1285292714 | Nichole Tyler | Nurse Practitioner | 8455 9th Ave Ste B, Port Arthur, TX 77642-8021 | 2019-05-30 |
| 1578038527 | Tung Van Hoang | Nurse Practitioner | 806 10th Ave, Port Arthur, TX 77642-3127 | 2018-10-05 |
| 1104301860 | Jennifer Vandehoef | Nurse Practitioner | 8333 9th Ave Ste B, Port Arthur, TX 77642-8151 | 2018-09-28 |
| 1710404637 | Lanbake, LLC | Nurse Practitioner | 8480 Central Mall Dr, Port Arthur, TX 77642-8001 | 2017-08-23 |
| 1104363225 | Anasha Bush Butler | Nurse Practitioner | 1 Plaza Sq Ste 107, Port Arthur, TX 77642-5537 | 2017-01-26 |
| 1942686035 | Michael Mitchell | Nurse Practitioner | 4200 Willow Bend Ln, Port Arthur, TX 77642-7231 | 2015-07-31 |
| 1811969025 | Leah Anne Mcgee | Nurse Practitioner | 3758 Park Plaza Circle, Port Arthur, TX 77642-5205 | 2006-02-02 |
| 1174522312 | Keli An Lanclos | Nurse Practitioner | 8480 Central Mall Drive, Port Arthur, TX 77642 | 2005-07-19 |
| 1780213199 | Maryam Khalily Rahmani | Nurse Practitioner | 8595 Medical Center Blvd, Port Arthur, TX 77640-2428 | 2020-04-07 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
Please comment or provide details below to improve the information on DELORIS BRANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.