Provider Demographics
NPI:1558974741
Name:BREIO MEDICAL PARTNERS
Entity Type:Organization
Organization Name:BREIO MEDICAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. OF CLINICAL OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-297-5222
Mailing Address - Street 1:3250 W PLEASANT RUN RD STE 130
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1069
Mailing Address - Country:US
Mailing Address - Phone:469-297-5222
Mailing Address - Fax:855-651-0605
Practice Address - Street 1:3250 W PLEASANT RUN RD STE 130
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1069
Practice Address - Country:US
Practice Address - Phone:469-297-5222
Practice Address - Fax:855-651-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational HealthGroup - Single Specialty