Brian Peter Vicari | San Antonio, TX • PECOS Search

Brian Peter Vicari

Anesthesiology

Allopathic & Osteopathic Physicians

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000 (281) 743-7958

PECOS Enrollment

Based on the most recent information from CMS, provider Brian Peter Vicari does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023713260
Provider Type
Individual
Full Name
Vicari, Brian Peter
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/4/2023
Last Updated
4/4/2023

Contact Information

Practice Location

4502 Medical Dr, San Antonio, TX 78229-4402

Unlisted Fax

Mailing Location

7403 Wurzbach Rd Apt 149, San Antonio, TX 78229-4495

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License BP10083715 Texas