Individual
DR. BRIAN D VAILLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E 30TH ST, STE 100, AUSTIN, TX 78705-3326
(512) 334-2777
(512) 334-2702
Mailing address
900 E 30TH ST, STE 100, AUSTIN, TX 78705-3326
(512) 505-5500
(512) 334-2702
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ML20007791
WA
2084N0400X
Neurology Physician
Primary
N1934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280334802
—
TX
05
—
280334804
—
TX
05
—
280334805
—
TX
05
—
280334806
—
TX
Enumeration date
08/31/2006
Last updated
11/04/2019
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