Individual
MALCOLM BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-1450
(713) 793-1232
Mailing address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-1450
(713) 793-1232
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
L4825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105379502
—
TX
Enumeration date
10/17/2006
Last updated
01/17/2008
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