BRIAN D POLIQUIN

BANDERA FAMILY HEALTH CARE PA

Dr BRIAN D POLIQUIN is a male medical professional, specializing in Physician Assistant. He graduated in 1991.

Contact

BANDERA FAMILY HEALTH CARE PA

12952 BANDERA RD
SUITE 105
HELOTES
TX
780234690

Tel: 2106951900

BRIAN D POLIQUIN Information

Npi 1881836286
Pac Id 3870642358
Professional Enrollment Id I20090513000372
Last Name POLIQUIN
First Name BRIAN
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1991
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BANDERA FAMILY HEALTH CARE PA
Group Practice Pac Id 4486655701
Number Of Group Practice Members 12
Line 1 Street Address 12952 BANDERA RD
Line 2 Street Address SUITE 105
Marker Of Address Line 2 Suppression
City HELOTES
State TX
Zip Code 780234690
Phone Number 2106951900
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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