Individual
BRIEN M MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 531-8890
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1096163
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
98754
WI
Other
Enumeration date
10/11/2022
Last updated
03/30/2026
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