Individual
BRIAN KEITH FAHEY
Active
Individual
BRIAN KEITH FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H8028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050069934
RAILROAD MEDICARE
TX
05
—
118646202
—
TX
01
—
8018J5
OUT OF HARRIS - MEDICARE
TX
01
—
84Y543
IN HARRISS - MEDICARE
TX
01
—
84Y543
TX-BLUE SHIELD
—
Enumeration date
01/09/2007
Last updated
06/25/2021
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