Individual
MR. BRIAN MATTHEW POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
740 S AMY LN, STE 101, HARKER HEIGHTS, TX 76548-1343
(254) 699-8521
(254) 699-8528
Mailing address
3802 CARAVELLE PKWY, APT. 1515, CORPUS CHRISTI, TX 78415-3522
(361) 876-9544
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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