Doctor Name: | MR. PAUL JAMES BRAZINSKAS |
NPI Number: | 1003124926 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCDC, QMHP |
License Number: | 10205 |
Business Practice Address: | 401 E Illinois Ave Midland, TX - 797014803 |
Business Phone Number: | 4326862793 |
Business Fax Number: | 4325703425 |
Mailing Address: | 401 E Illinois Ave, MIDLAND |
State: | TX |
Postal Code: | 797014803 |
Phone Number: | 4326862793 |
Fax Number: | 4325703425 |
NPI Enumeration Date: | 09/14/2010 |
NPI Last Update Date: | 09/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 10205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |