Individual
BRENDA J PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 N FOSTER MALDONADO BLVD, EAGLE PASS, TX 78852-5893
(830) 773-5321
Mailing address
PO BOX 1888, GREENVILLE, TX 75403-1888
(800) 593-3216
(903) 453-2525
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DR.0058373
CO
2085R0202X
Diagnostic Radiology Physician
Primary
H4958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138672406
—
TX
01
—
85960R
MEDICARE PTAN
TX
Enumeration date
06/20/2006
Last updated
07/21/2022
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