Individual
BRENT ELLIS MASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
(409) 762-9961
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265
(409) 772-0620
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E9299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000EH316
—
TX
Enumeration date
10/27/2006
Last updated
05/02/2022
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