Individual
MR. BRIAN MATTHEW POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01547
TX
Other
Enumeration date
05/03/2007
Last updated
01/25/2012
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