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General NPI Number Information
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NPI Number | 1316766108
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Entity Type | Organization
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Legal Business Name | BRICKEY MEDICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 2821 E PRESIDENT GEORGE BUSH HWY STE 510
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City | RICHARDSON
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State | TX
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Zip | 75082-4278
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Country | US
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Telephone | 972-664-0404
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Fax | 972-664-9797
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Provider Business Mailing Address
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Address Line | 9330 LBJ FWY STE 800
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City | DALLAS
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State | TX
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Zip | 75243-4310
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Country | US
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Telephone | 972-792-5700
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Fax | 214-506-1170
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Authorized Official
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Title or Position | OWNER
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Name | MARK BRICKEY
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Credential | MD
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Telephone | 817-680-8824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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