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NPI Code Detail

MEDICARE: DR. SOLOMON SAM BRICKMAN M.D.

MEDICARE:  DR. SOLOMON SAM BRICKMAN  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
1174400000XSpecialistF2179TX
2207N00000XDermatology PhysicianF2179TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10091MHOTHERTXBCBS

General Provider Information

NPI Number : 1013973163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOLOMON SAM BRICKMAN M.D.
Provider Business Mailing Address
First Line : 11730 FM 1960 RD W
Second Line :
City : HOUSTON
State : TX
Zip : 77065-3514
Country : US
Telephone Number : 281-955-2263
Fax Number : 281-955-7990
Provider Business Practice Location Address
First Line : 11730 FM 1960 RD W
Second Line :
City : HOUSTON
State : TX
Zip : 77065-3514
Country : US
Telephone Number : 281-955-2263
Fax Number : 281-955-7990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 02/29/2008

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Directions to “ DR. SOLOMON SAM BRICKMAN M.D.” Practice Location

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