Provider Demographics
NPI:1750505236
Name:BRASHEAR FAMILY MEDICAL, P.A.
Entity type:Organization
Organization Name:BRASHEAR FAMILY MEDICAL, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-932-8555
Mailing Address - Street 1:2300 COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-7361
Mailing Address - Country:US
Mailing Address - Phone:972-932-8555
Mailing Address - Fax:972-932-2141
Practice Address - Street 1:2300 COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-7361
Practice Address - Country:US
Practice Address - Phone:972-932-8555
Practice Address - Fax:972-932-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X, 363LF0000X
TXL4871261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1639446610Medicaid
TX1457793077Medicaid
TX1538308077Medicaid
TX1275948408Medicaid
TX1144316704Medicaid
TX1699503011Medicaid