Provider Demographics
NPI:1295806362
Name:METTS, BRENT ALAN (MD,PHD)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:ALAN
Last Name:METTS
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 LAKEVIEW PKWY
Mailing Address - Street 2:STE 120
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4248
Mailing Address - Country:US
Mailing Address - Phone:318-329-8458
Mailing Address - Fax:318-329-8460
Practice Address - Street 1:7801 LAKEVIEW PKWY
Practice Address - Street 2:STE 120
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4248
Practice Address - Country:US
Practice Address - Phone:972-475-9151
Practice Address - Fax:972-475-1757
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3180207Y00000X
LAMD.205357207Y00000X
GA060935207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA835998595AMedicaid
GA835998595CMedicaid
GA835998595BMedicaid
GA835998595DMedicaid
SCG60935Medicaid
SCG60935Medicaid