MEDICARE: STEVEN A. BRANCH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1699704478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN A. BRANCH

Provider Business Mailing Address
First Line	:	1202 N VIRGINIA ST
Second Line	:
City	:	PORT LAVACA
State	:	TX
Zip	:	77979-2507
Country	:	US
Telephone Number	:	361-552-2999
Fax Number	:	361-552-1566

Provider Business Practice Location Address
First Line	:	1202 N VIRGINIA ST
Second Line	:
City	:	PORT LAVACA
State	:	TX
Zip	:	77979-2507
Country	:	US
Telephone Number	:	361-552-2999
Fax Number	:	361-552-1566

Authorized Official
Title or Position	:	OWNER
Name	:	STEVE BRANCH
Credential	:	R PH
Telephone Number	:	361-552-2999

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	11/09/2007

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Directions to “STEVEN A. BRANCH ” Practice Location

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