Individual
DR. PATRICK BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3006 H G MOSLEY PKWY, LONGVIEW, TX 75605-2948
(903) 753-2151
(903) 753-0884
Mailing address
3006 H G MOSLEY PKWY, LONGVIEW, TX 75605-2948
(903) 753-2151
(903) 753-0884
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114234556
ULTRA ORTHODONTICS
TX
01
—
1427168541
SHERMAN & BRISCOE ORTHODONTICS
TX
Enumeration date
04/03/2007
Last updated
07/20/2020
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