Individual
BRIANA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6710 SPRING STUEBNER RD STE 709, SPRING, TX 77389-5197
(248) 238-5863
Mailing address
6710 SPRING STUEBNER RD STE 709, SPRING, TX 77389-5197
(248) 238-5863
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920592716
—
TX
Enumeration date
12/06/2022
Last updated
12/06/2022
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