Individual
BRIAN KEITH FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 233-1999
(972) 233-3666
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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