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1396460481
BRIEN M MACON
TYLER, TX
NPI
1396460481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 1096163)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
BRIEN M MACON
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-531-8890
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Mailing Address
BRIEN M MACON
6225 N STATE HIGHWAY 161 STE 200
IRVING, TX 75038-2241
Phone number: 214-687-0001
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