MEDICARE: DR. DONALD ANTHONY BRISCOE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	L4265	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	142445902	OTHER	TX	TH STEPS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	TRICARE	OTHER	TX	L4265
6	8G2488	OTHER	TX	BCNS

General Provider Information

NPI Number	:	1750384897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD ANTHONY BRISCOE M.D.

Provider Business Mailing Address
First Line	:	4349 MARTIN LUTHER KING BLVD STE 1001E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77204-0001
Country	:	US
Telephone Number	:	713-743-9682
Fax Number	:	713-743-1049

Provider Business Practice Location Address
First Line	:	4349 MARTIN LUTHER KING BLVD STE 1001E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77204-3022
Country	:	US
Telephone Number	:	713-743-9682
Fax Number	:	713-743-1049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/02/2024

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Directions to “ DR. DONALD ANTHONY BRISCOE M.D.” Practice Location

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