Individual
DR. BRENT LUCAS TREADAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5245 W HIGHWAY 290, AUSTIN, TX 78735-8963
(512) 654-2100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101018697
MI
207P00000X
Emergency Medicine Physician
Primary
Q0583
TX
Other
Enumeration date
03/30/2010
Last updated
10/14/2024
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