King, Brian B

King, Brian B is an individual health care provider with primary practice located at 4107 Spicewood Springs Rd Ste 100 , Austin TX 78759-8645. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. King, Brian B can be contacted via phone (512) 397-3360.

Contact Information

Primary practice address
4107 Spicewood Springs Rd Ste 100 Austin TX 78759-8645
Phone: (512) 397-3360
Fax: (512) 343-7107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 640548 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 640548 Texas

Profile Details

NPI number 1558695858
LBN Legal business name King, Brian B
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Jan 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558695858 NPPES
Texas MEDICAID 3600470-02

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