Individual
MR. BRIAN ALLEN PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
713 E. ANDERSON STREEET, WEATHERFOOD, TX 76086-5705
(817) 341-2273
(817) 599-1826
Mailing address
12221 MERIT DRIVE, SUITE 1610, DALLAS, TX 75251-2204
(214) 217-1911
(214) 217-1912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214537701
—
TX
01
—
P01081371
RAILROAD
TX
Enumeration date
03/19/2007
Last updated
11/20/2012
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