Provider Demographics
NPI:1649487513
Name:CHORNOPYSKI, BRIAN BLAIR (PT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:BLAIR
Last Name:CHORNOPYSKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 WISTERIA DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-2074
Mailing Address - Country:US
Mailing Address - Phone:956-584-8491
Mailing Address - Fax:
Practice Address - Street 1:1401 S 6TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2959
Practice Address - Country:US
Practice Address - Phone:956-668-1883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1118305225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist