BRIAN HOUSTON BLACK

GREENCASTLE, IN
NPI1437255239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02002904a)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  02002904A)
Enumeration Date2006-09-16
Last Update Date2021-03-31
Business Address
BRIAN HOUSTON BLACK DO
1542 S BLOOMINGTON ST
GREENCASTLE, IN 46135-2297
Phone number: 765-301-7617
Mailing Address
BRIAN HOUSTON BLACK DO
1145 INDIANAPOLIS RD
GREENCASTLE, IN 46135-2408
Phone number: 765-653-8453