Brenner, Andrew Jacob

Brenner, Andrew Jacob is an individual health care provider with primary practice located at 901 W 38Th St Ste 200 , Austin TX 78705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Brenner, Andrew Jacob can be contacted via phone (512) 421-4100.

Contact Information

Primary practice address
901 W 38Th St Ste 200 Austin TX 78705
Phone: (512) 421-4100
Fax: (512) 451-7380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M1033 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M1033 Texas

Profile Details

NPI number 1700909744
LBN Legal business name Brenner, Andrew Jacob
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Nov 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700909744 NPPES
Texas MEDICAID 186304504
Texas MEDICAID 186304506
Texas MEDICAID 186304507

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