Individual
BRIAN MATTHEW ENGGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 N MACARTHUR BLVD, SUITE 500, IRVING, TX 75062-3651
(972) 256-3700
(866) 630-6348
Mailing address
3501 N MACARTHUR BLVD, SUITE 500, IRVING, TX 75062-3651
(972) 256-3700
(866) 630-6348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N8911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311851YPDF
MCR IRVING
TX
01
—
311857YPDE
MCR TARRANT
TX
01
—
324307301
MCD IRVING
TX
01
—
324307302
MCD TARRANT
TX
Enumeration date
07/21/2009
Last updated
05/02/2014
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