Individual
DR. BRIAN LOWE FENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3403 SPENCER HWY, PASADENA, TX 77504-1107
(713) 947-2772
(713) 947-8059
Mailing address
3403 SPENCER HWY, PASADENA, TX 77504-1107
(713) 947-2772
(713) 947-8059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F2920
BCBS
TX
Enumeration date
10/25/2006
Last updated
07/08/2007
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