Provider Demographics
NPI:1629136692
Name:BRENNEN, DAVID MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:BRENNEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4499 MEDICAL DR
Mailing Address - Street 2:SUITE 289
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3735
Mailing Address - Country:US
Mailing Address - Phone:210-614-3264
Mailing Address - Fax:210-615-0888
Practice Address - Street 1:4499 MEDICAL DR
Practice Address - Street 2:SUITE 289
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3735
Practice Address - Country:US
Practice Address - Phone:210-614-3264
Practice Address - Fax:210-615-0888
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2012-10-11
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Provider Licenses
StateLicense IDTaxonomies
TXN98172080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology