MEDICARE: DAVID A BRAUNREITER, MD, PA

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
1	207QS0010X	Sports Medicine (Family Medicine) Physician	K8026	TX

General Provider Information

NPI Number	:	1588787642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID A BRAUNREITER, MD, PA

Provider Business Mailing Address
First Line	:	5819 HIGHWAY 6
Second Line	:	SUITE 380
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4052
Country	:	US
Telephone Number	:	281-499-4011
Fax Number	:	281-499-4490

Provider Business Practice Location Address
First Line	:	5819 HIGHWAY 6
Second Line	:	SUITE 380
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4052
Country	:	US
Telephone Number	:	281-499-4011
Fax Number	:	281-499-4490

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID ANTHONY BRAUNREITER
Credential	:	MD
Telephone Number	:	281-499-4011

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	11/21/2007

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