Individual
MARY ELIZABETH BRICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-8000
(214) 645-7532
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8000
(214) 645-7532
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
H6784
TX
207RC0000X
Cardiovascular Disease Physician
H6784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105561802
—
TX
Enumeration date
04/11/2006
Last updated
11/29/2021
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