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NPI Code Detail

MEDICARE: CRAIG BRAILSFORD PA-C

MEDICARE: CRAIG BRAILSFORD PA-C
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
1363AS0400XSurgical Physician AssistantPA17003TX

General Provider Information

NPI Number : 1316625577
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG BRAILSFORD PA-C
Provider Business Mailing Address
First Line : 6701 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2608
Country : US
Telephone Number : 832-824-1000
Fax Number : 830-820-1000
Provider Business Practice Location Address
First Line : 17600 INTERSTATE 45 S
Second Line :
City : CONROE
State : TX
Zip : 77384-5148
Country : US
Telephone Number : 936-267-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2023
Last Update Date : 02/04/2026

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Directions to “ CRAIG BRAILSFORD PA-C” Practice Location

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