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NPI Code Detail

MEDICARE: MICHAEL BREWER

MEDICARE: MICHAEL BREWER
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
1251E00000XHome Health Agency018215TX

General Provider Information

NPI Number : 1710497367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BREWER
Provider Business Mailing Address
First Line : 9022 SAINT LAURENT LN
Second Line :
City : HOUSTON
State : TX
Zip : 77044-1934
Country : US
Telephone Number : 832-296-9634
Fax Number :
Provider Business Practice Location Address
First Line : 363 N SAM HOUSTON PKWY E
Second Line :
City : HOUSTON
State : TX
Zip : 77060-2404
Country : US
Telephone Number : 281-405-2614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2017
Last Update Date : 10/10/2017

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Directions to “ MICHAEL BREWER ” Practice Location

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