Organization
BRAZOS PULMONARY & SLEEP ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A BRICKEY D.O. (OWNER/PRESIDENT)
(254) 756-5600
Entity
Organization
Contact information
Practice address
2911 HERRING AVE, SUITE 212, WACO, TX 76708-3245
(254) 756-5600
(254) 756-5601
Mailing address
PO BOX 22047, WACO, TX 76702-2047
(254) 756-5600
(254) 756-5601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085PX
BCBS GROUP #
TX
05
—
1907453-01
—
TX
Enumeration date
07/18/2007
Last updated
03/06/2009
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