Provider Demographics
NPI:1710201264
Name:BRAHIN, ERIC JUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JUSTIN
Last Name:BRAHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 SW MILITARY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1012
Mailing Address - Country:US
Mailing Address - Phone:210-923-2700
Mailing Address - Fax:
Practice Address - Street 1:2600 SW MILITARY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1012
Practice Address - Country:US
Practice Address - Phone:210-923-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN55862084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology