Individual
DR. BRENDAN P DEWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 483-6807
Mailing address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 483-6807
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R0384
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741796484
TAX ID
TX
Enumeration date
04/12/2010
Last updated
07/19/2024
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