Provider Demographics
NPI:1659563047
Name:BRUEL, BRIAN MENDOZA (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MENDOZA
Last Name:BRUEL
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9001 FOREST XING STE D
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1132
Mailing Address - Country:US
Mailing Address - Phone:713-568-6095
Mailing Address - Fax:713-965-4091
Practice Address - Street 1:9717 JONES RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4303
Practice Address - Country:US
Practice Address - Phone:713-568-6095
Practice Address - Fax:713-965-4091
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7067208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188356303Medicaid
TXTXB111087Medicare PIN