Individual
BRANDON ROBERT CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
(469) 522-6889
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME136886
FL
2085R0202X
Diagnostic Radiology Physician
Primary
S1990
TX
Other
Enumeration date
04/28/2012
Last updated
07/25/2019
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