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Individual

DR. ENZIE NATASHA BRISKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12221 NORTH MOPAC EXPRESSWAY, AUSTIN, TX 78758
(512) 901-2155
Mailing address
PO BOX 202936, AUSTIN, TX 78720-2936

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9110
TX
207VX0000X
Obstetrics Physician
L9110
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245290444
NPI ORGANIZATION NUMBER
TX
05
169479603
TX
01
L9110
TEXAS MEDICAL LICENSURE
TX
Enumeration date
07/06/2006
Last updated
03/29/2023
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