Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | L2151 | TX |
N | 2081P2900X | Pain Medicine | 34008248 | OH |
Y | 2081P2900X | Pain Medicine | L2151 | TX |
NPI | 1104836832 |
---|---|
Provider Name | Ephraim K Brenman |
First Address | San Antonio, TX 78216-6905 |
Second Address | San Antonio, TX 78216-6991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 13/07/2017 |