Provider Demographics
NPI:1902164569
Name:BRILLHART, DANIEL BRIGGS (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRIGGS
Last Name:BRILLHART
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:36000 DARNALL LOOP
Mailing Address - Street 2:ATTN: MCXI-DEM
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544-5095
Mailing Address - Country:US
Mailing Address - Phone:254-288-8303
Mailing Address - Fax:254-286-7055
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:ATTN: MCXI-DEM
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5095
Practice Address - Country:US
Practice Address - Phone:254-288-8303
Practice Address - Fax:254-286-7055
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ4046207P00000X
VA0101255037207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine