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NPI Code Detail

MEDICARE: BRENDA MARCELA BRIONES M.D.

MEDICARE: BRENDA MARCELA BRIONES 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
1207RG0100XGastroenterology PhysicianT8180TX
2207R00000XInternal Medicine PhysicianT8180TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11245693803OTHERTXCSHCN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245693803
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA MARCELA BRIONES M.D.
Provider Business Mailing Address
First Line : 4502 MEDICAL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4402
Country : US
Telephone Number : 210-358-4000
Fax Number : 210-567-1976
Provider Business Practice Location Address
First Line : 4502 MEDICAL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4402
Country : US
Telephone Number : 210-358-4000
Fax Number : 210-567-1976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 12/17/2025

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