Individual
BRENT D MICHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3270 JOE BATTLE BLVD, SUITE 205, EL PASO, TX 79938-2639
(915) 855-2400
(915) 855-2401
Mailing address
3270 JOE BATTLE BLVD, SUITE 205, EL PASO, TX 79938-2639
(915) 855-2400
(915) 855-2401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M7798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M7798
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/18/2007
Last updated
03/11/2013
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