Individual
BRIAN NICHOLAS PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
115 MEDICAL DR STE 208, VICTORIA, TX 77904-3106
(361) 574-1137
(361) 574-1186
Mailing address
115 MEDICAL DR STE 208, VICTORIA, TX 77904-3106
(361) 574-1137
(361) 574-1186
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036141626
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
Q6891
TX
207R00000X
Internal Medicine Physician
L1761511
MI
208VP0014X
Interventional Pain Medicine Physician
5699
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2010
Last updated
09/02/2020
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