Individual
DR. ANDREW JACOB BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
901 W 38TH ST STE 200, AUSTIN, TX 78705
(512) 421-4100
(512) 451-7380
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1033
TX
207RX0202X
Medical Oncology Physician
Primary
M1033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186304504
—
TX
05
—
186304506
—
TX
05
—
186304507
—
TX
Enumeration date
04/06/2007
Last updated
11/09/2018
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