Brickner, Mary Elizabeth

Brickner, Mary Elizabeth is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Brickner, Mary Elizabeth can be contacted via phone (214) 645-8000.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Fax: (214) 645-7532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X H6784 Texas

Profile Details

NPI number 1336102003
LBN Legal business name Brickner, Mary Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 29th, 2021 - about 3 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 1336102003 NPPES
Texas MEDICAID 105561802

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