Individual
MRS. HALEY DIANE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4705 BRIARWOOD AVE, MIDLAND, TX 79707-2639
(325) 054-1454
(833) 941-0864
Mailing address
4705 BRIARWOOD AVE, MIDLAND, TX 79707-2639
(325) 054-1454
(833) 941-0864
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10201
TX
Other
Enumeration date
10/27/2015
Last updated
03/10/2025
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