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General NPI Number Information
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NPI Number | 1689899049
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Entity Type | Organization
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Legal Business Name | JOSE ANTONIO BRIGMAN, P.A.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 12415 BANDERA RD SUITE 110
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City | HELOTES
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State | TX
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Zip | 78023
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Country | US
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Telephone | 214-335-4918
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 734753
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City | DALLAS
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State | TX
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Zip | 75373-4753
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Country | US
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Telephone | 210-880-2592
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE ANTONIO BRIGMAN
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Credential | DDS
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Telephone | 214-335-4918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21052
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License Number State | TX
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