| NPI | 1245123124 |
|---|---|
| Former Legal Business Name | BREAUX MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BARRY ELLISON BREAUX President/CEO/Founder 510-384-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |