Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP133689 | TX |
NPI | 1467984666 |
---|---|
Provider Name | Edward Alexander Brinkley |
First Address | Houston, TX 77030-2604 |
Second Address | Houston, TX 77030-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 28/03/2017 |