Individual
MR. MICHAEL DWAYNE BRIZZEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
119 SAN SABA DR, PORTLAND, TX 78374-1455
(361) 776-5767
Mailing address
119 SAN SABA DR, PORTLAND, TX 78374-1455
(361) 776-5767
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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