Individual
BRENT J VASUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 HIGHLAND CROSS DR, SUITE 275, HOUSTON, TX 77073-1733
(281) 784-1500
(281) 784-1522
Mailing address
211 HIGHLAND CROSS DR, SUITE 275, HOUSTON, TX 77073-1733
(281) 784-1500
(281) 784-1522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L2724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135867310
—
TX
05
—
142045701
—
TX
01
—
1679660237
TRICARE SOUTH
TX
01
—
8BX676
BCBSTX
TX
Enumeration date
10/06/2006
Last updated
05/07/2010
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