MEDICARE: BRIAN CEBALLOS MD

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
1	208800000X	Urology Physician	ME180109	FL
2	208800000X	Urology Physician	V5990	TX

General Provider Information

NPI Number	:	1376178277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN CEBALLOS MD

Provider Business Mailing Address
First Line	:	5220 W UNIVERSITY DR STE 210
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-7429
Country	:	US
Telephone Number	:	469-678-8370
Fax Number	:	469-678-8371

Provider Business Practice Location Address
First Line	:	5220 W UNIVERSITY DR STE 210
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-7429
Country	:	US
Telephone Number	:	469-678-8370
Fax Number	:	469-678-8371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2020
Last Update Date	:	06/24/2026

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Directions to “ BRIAN CEBALLOS MD” Practice Location

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