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BRIAN NELSON MD PLLC NPI 1629630249


NPI Information

NPI: 1629630249
Provider Name: BRIAN NELSON MD PLLC

Doing Business As: FAMILY PRACTICE TX

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2225512

Address:
1208 W HENDERSON ST STE C
CLEBURNE, TX
ZIP 76033
Phone: (682) 317-1537
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BRIAN NELSON MD PLLC is a primary care clinic center in Cleburne, TX. BRIAN NELSON MD PLLC NPI is 1629630249. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Practice Tx.

The provider's business location address is:

1208 W HENDERSON ST STE C
CLEBURNE, TX
ZIP 76033-731
Phone: (682) 317-1537
Fax: (682) 317-1553

The provider's authorized official is Brian Nelson .
The authorized official title is Md/owner and has the following contact phone number (682) 317-1537.

The CLIA number assigned to this NPI record is 45D2225512 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/3/2019 and was last updated on 11/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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