Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | H1047 | TX |
N | 208000000X | Pediatrician | H1047 | TX |
Y | 2080P0208X | Pediatric Infectious Diseases | H1047 | TX |
NPI | 1407815111 |
---|---|
Provider Name | Dr. James H. Brien |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76502-1814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 03/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G44988 | (02) | TX |