Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | M9274 | TX |
Y | 2084N0402X | Child Neurologist | M9274 | TX |
NPI | 1285608562 |
---|---|
Provider Name | Dr. Brian Michael Faux |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78229-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 07/10/2021 |