Individual
DR. BRIAN JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J7016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110754204
—
TX
05
—
110754205
—
TX
05
—
110754206
—
TX
05
—
110754207
—
TX
05
—
110754208
—
TX
05
—
110754209
—
TX
01
—
8A1504
BCBS
TX
01
—
8EH338
BCBS TX
TX
01
—
P00719367
RAILROAD
—
Enumeration date
06/02/2005
Last updated
06/21/2022
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