BRIEN M MACON

TYLER, TX
NPI1396460481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1096163)
Enumeration Date2022-10-11
Last Update Date2022-10-11
Business Address
BRIEN M MACON
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-531-8890
Mailing Address
BRIEN M MACON
6225 N STATE HIGHWAY 161 STE 200
IRVING, TX 75038-2241
Phone number: 214-687-0001