Provider Demographics
NPI:1255548285
Name:TISON, BRIAN EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:EDWARD
Last Name:TISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7737 SOUTHWEST FWY STE 895
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1889
Mailing Address - Country:US
Mailing Address - Phone:713-565-9493
Mailing Address - Fax:713-979-5399
Practice Address - Street 1:7737 SOUTHWEST FWY STE 895
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1889
Practice Address - Country:US
Practice Address - Phone:713-565-9493
Practice Address - Fax:713-979-5399
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN2845207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology