Individual
DR. BRIAN F HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
121 GASLIGHT MEDICAL PKWY, SUITE 100, LUFKIN, TX 75904-3150
(936) 699-3141
(936) 699-3145
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
21388
ND
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
H1496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132380007
—
TX
Enumeration date
06/07/2006
Last updated
09/04/2024
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