Individual
MR. ADAM MARSHALL BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD., STE. NC5.802, DALLAS, TX 75390-9070
(214) 648-7312
Mailing address
PO BOX 845347, DEPT. PSYCHIATRY, UT SOUTHWESTERN MED CTR., DALLAS, TX 75284-5347
(214) 648-7312
(214) 648-7370
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
74875
MA
2084P0800X
Psychiatry Physician
Primary
M4720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183064801
—
TX
Enumeration date
05/26/2006
Last updated
07/26/2011
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