Individual
RAYMOND LEE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7730
(210) 375-7799
Mailing address
P O BOX 840853, DALLAS, TX 75284
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01036554A
IN
207L00000X
Anesthesiology Physician
Primary
K0647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450199-01
—
TX
05
—
300067972
—
IN
Enumeration date
11/17/2005
Last updated
05/16/2024
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