Organization
BRAZOS PULMONARY AND SLEEP ASSOCIATES PA
Active
Organization
BRAZOS PULMONARY AND SLEEP ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALLEN BRICKEY DO (PRESIDENT)
(254) 756-5600
Entity
Organization
Contact information
Practice address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 248-6308
(254) 756-5601
Mailing address
PO BOX 22047, WACO, TX 76702-2047
(254) 756-5600
(254) 756-5601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
TX
207RP1001X
Pulmonary Disease Physician
Primary
—
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085PX
BCBS OF TEXAS GROUP #
TX
05
—
1907453-01
—
TX
Enumeration date
06/09/2008
Last updated
03/06/2009
Update your record
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