Individual
DENNIS MICHAEL BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1870A HIGHWAY 36 W, RISING STAR, TX 76471-3454
(254) 643-3235
(254) 643-3233
Mailing address
1870A HIGHWAY 36 W, RISING STAR, TX 76471-3454
(254) 643-3235
(325) 643-3233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA03746
LICENSE NUMBER
TX
Enumeration date
11/24/2006
Last updated
09/21/2021
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