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Individual
BRIAN KEITH DEMOSS
Active
Individual
BRIAN KEITH DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP117981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205613706
—
TX
01
—
8655ND
BCBS
TX
Enumeration date
08/27/2009
Last updated
04/08/2024
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