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NPI Code Detail

MEDICARE: DR. ANTHONY BRISSETT M.D.

MEDICARE:  DR. ANTHONY  BRISSETT  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
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) PhysicianJ9532TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033113014
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY BRISSETT M.D.
Provider Business Mailing Address
First Line : 1977 BUTLER BLVD
Second Line : E6.100
City : HOUSTON
State : TX
Zip : 77030-4101
Country : US
Telephone Number : 713-798-3223
Fax Number : 713-798-2774
Provider Business Practice Location Address
First Line : 1977 BUTLER BLVD
Second Line : E6.100
City : HOUSTON
State : TX
Zip : 77030-4101
Country : US
Telephone Number : 713-798-3223
Fax Number : 713-798-2774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 04/08/2016

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Directions to “ DR. ANTHONY BRISSETT M.D.” Practice Location

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