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NPI Code Detail

MEDICARE: ALLEN BRAJER M.D.

MEDICARE: ALLEN BRAJER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianG3176TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184602419
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN BRAJER M.D.
Provider Business Mailing Address
First Line : 4327 BARNETT RD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76310-2303
Country : US
Telephone Number : 940-764-5200
Fax Number : 940-764-5201
Provider Business Practice Location Address
First Line : 4327 BARNETT RD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76310-2303
Country : US
Telephone Number : 940-764-5200
Fax Number : 940-764-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 03/21/2024

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