Individual
DR. BRIAN KENT ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 KELL BLVD, WICHITA FALLS, TX 76310-1610
(940) 691-8271
(940) 692-2042
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
G6417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194680A
—
OK
05
—
39033801
—
TX
05
—
39033802
—
TX
05
—
39033803
—
TX
Enumeration date
01/06/2006
Last updated
06/23/2009
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