Eric J. Brahin, Md, Pllc | |
2600 Sw Military Dr Suite 100 San Antonio TX 78224-1028 | |
(210) 923-2700 | |
(210) 927-9200 |
Full Name | Eric J. Brahin, Md, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2600 Sw Military Dr, San Antonio, Texas |
Authorized Official Name and Position | Eric J Brahin (PRESIDENT) |
Authorized Official Contact | 2102664076 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eric J. Brahin, Md, Pllc 2600 Sw Military Dr Suite 100 San Antonio TX 78224-1028 Ph: (210) 923-2700 | Eric J. Brahin, Md, Pllc 2600 Sw Military Dr Suite 100 San Antonio TX 78224-1028 Ph: (210) 923-2700 |
NPI Number | 1205259389 |
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Provider Enumeration Date | 01/27/2014 |
Last Update Date | 05/29/2014 |
Medicare PECOS PAC ID | 6204199581 |
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Medicare Enrollment ID | O20180419001458 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205259389 | NPI | - | NPPES |
284639601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | N5586 (Texas) | Primary |
Provider Name | Eric Brahin |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1710201264 PECOS PAC ID: 5698958775 Enrollment ID: I20110328000352 |
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