Individual
DR. BRIAN R. GANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 REGIONAL PLZ, SUITE 1450, ABILENE, TX 79606-5250
(325) 795-9288
(325) 437-1529
Mailing address
51 PEBBLE BEACH ST, ABILENE, TX 79606-5028
(325) 795-9076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080960002
—
TX
Enumeration date
07/18/2005
Last updated
07/08/2007
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