Individual
MR. BRENDAN JOHN BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 8TH AVE, EMERGENCY DEPARTMENT, FORT WORTH, TX 76104-4110
(817) 922-7079
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA09133
TEXAS MEDICAL BOARD
TX
Enumeration date
09/04/2013
Last updated
04/16/2024
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