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Individual

BYRON DAVID BRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11111 RESEARCH BLVD STE 170, AUSTIN, TX 78759-5280
(512) 338-5222
Mailing address
4804 TOREADOR DR, AUSTIN, TX 78746-2413
(512) 328-5611

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H2259
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P080Y8206
TX
Enumeration date
10/04/2006
Last updated
07/08/2007
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