Individual
DR. MICHAEL BRISCOE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 RIVER POINTE DR STE 120, CONROE, TX 77304-2860
(936) 539-4700
(800) 535-3218
Mailing address
10740 N GESSNER RD STE 310, HOUSTON, TX 77064-1240
(281) 897-0416
(800) 876-1456
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N5592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID NUMBER
TX
Enumeration date
06/14/2007
Last updated
08/30/2022
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