Provider Demographics
NPI:1508067190
Name:NATION-HOWARD, BRIEANNA JO (DO)
Entity type:Individual
Prefix:
First Name:BRIEANNA
Middle Name:JO
Last Name:NATION-HOWARD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 N HARWOOD ST STE 550
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-6540
Mailing Address - Country:US
Mailing Address - Phone:877-585-7400
Mailing Address - Fax:877-585-7401
Practice Address - Street 1:331 MELROSE DR STE 250
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4733
Practice Address - Country:US
Practice Address - Phone:877-585-7400
Practice Address - Fax:877-585-7401
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10849207Q00000X
FLUO1625208600000X
TXQ0518207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFI042ZMedicare PIN