Provider Demographics
NPI:1851183545
Name:MENCHACA, BRIANNA EDEN (MD)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:EDEN
Last Name:MENCHACA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:EDEN
Other - Last Name:MENCHACA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2002 CHELSEA GRV
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0476
Mailing Address - Country:US
Mailing Address - Phone:956-569-4212
Mailing Address - Fax:
Practice Address - Street 1:731 N WALNUT AVE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7927
Practice Address - Country:US
Practice Address - Phone:830-507-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-25-81316103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst