Brenner, Malcolm

Brenner, Malcolm is an individual health care provider with primary practice located at 6565 Fannin St , Houston TX 77030-2703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Brenner, Malcolm can be contacted via phone (713) 441-1450.

Contact Information

Primary practice address
6565 Fannin St Houston TX 77030-2703
Fax: (713) 793-1232
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X L4825 Texas

Profile Details

NPI number 1629158050
LBN Legal business name Brenner, Malcolm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jan 17th, 2008 - about 17 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 1629158050 NPPES
Texas MEDICAID 105379502

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