Individual provider · NPI-1

Dr. David G Brust, MD

Pathology, Clinical Pathology · Galveston, TX

NPI number1376582668
StatusActive
Last updated in NPPESNov 11, 2019

Details

NPI
1376582668
Entity type
Individual (NPI-1)
Name
Dr. David G Brust
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 5, 2006
Last updated
Nov 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZC0006X Pathology, Clinical PathologyS1778TXYes

Practice location

301 University Blvd
Galveston, TX 77555-0001

Phone 409-772-2222

Mailing address

Wake Forest Baptist Medical Ctr
Medical Center Boulevard
Winston Salem, NC 27157-0001

Phone 336-716-5222

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