| J. Michael Brennan, M.d., P.a. | |
|
9101 N Central Expy Suite 590 Dallas TX 75231-5927 | |
| (214) 824-2273 | |
| (214) 826-9340 |
| Full Name | J. Michael Brennan, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9101 N Central Expy, Dallas, Texas |
| Authorized Official Name and Position | Liz Potter (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2148242273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Michael Brennan, M.d., P.a. 9101 N Central Expy Suite 590 Dallas TX 75231-5927 Ph: (214) 824-2273 | J. Michael Brennan, M.d., P.a. 9101 N Central Expy Suite 590 Dallas TX 75231-5927 Ph: (214) 824-2273 |
| NPI Number | 1669661799 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 01/08/2009 |
| Medicare PECOS PAC ID | 8123185121 |
|---|---|
| Medicare Enrollment ID | O20090318000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669661799 | NPI | - | NPPES |
| 00T03B | Other | TX | BCBS-TX |
| 0359267-01 | Medicaid | TX | |
| 4480010 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J3750 (Texas) | Primary |
| Provider Name | John M Brennan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336123173 PECOS PAC ID: 5890851133 Enrollment ID: I20090318000517 |
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