Individual
DR. JAVIER EDUARDO BRENES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7777 FOREST LN STE B120, DALLAS, TX 75230-6906
(972) 566-2525
Mailing address
7777 FOREST LN STE B120, DALLAS, TX 75230-6906
(972) 566-2525
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
S3638
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10041583
TX
Other
Enumeration date
10/26/2011
Last updated
02/06/2024
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