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Individual

MR. BRIAN T GEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, MSN

Contact information

Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 117614, CARROLLTON, TX 75011-7614
(106) 151-9012
(210) 615-1905

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP110096
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002505802
TX
01
82113U
BLUE CROSS AND BLUE SHIELD
TX
Enumeration date
11/01/2005
Last updated
07/06/2021
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