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NPI Code Detail

MEDICARE: BRIAN JAMISON FOX PA

MEDICARE: BRIAN JAMISON FOX PA
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
1363A00000XPhysician AssistantPA13709TX
2207P00000XEmergency Medicine PhysicianPA13709TX

General Provider Information

NPI Number : 1841549680
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN JAMISON FOX PA
Provider Business Mailing Address
First Line : 101 BODIN CIR
Second Line :
City : TRAVIS AFB
State : CA
Zip : 94535-1809
Country : US
Telephone Number : 707-423-3000
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-2338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2012
Last Update Date : 12/04/2025

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Directions to “ BRIAN JAMISON FOX PA” Practice Location

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