Individual
DAVID BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17903 W LAKE HOUSTON PKWY STE 204, ATASCOCITA, TX 77346-3954
(281) 359-2080
(832) 823-5203
Mailing address
22710 PROFESSIONAL DR STE 106, KINGWOOD, TX 77339-6009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053609917
TRICARE
TX
05
—
311201301
—
TX
01
—
8N0566
BCBS
TX
Enumeration date
07/13/2011
Last updated
10/05/2020
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