Individual
MR. BRIAN LEE MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
303 SANDY CORNER RD, EL CAMPO, TX 77437-9535
(979) 543-6251
Mailing address
720 AVENUE F, BAY CITY, TX 77414
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
578829
TX
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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