Healthcare Provider Details

I. General information

NPI: 1467795872
Provider Name (Legal Business Name): LAUREN NICOLE BRAUN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN NICOLE DUNN PA-C

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 N FLOYD RD STE 5
RICHARDSON TX
75080-4243
US

IV. Provider business mailing address

1112 N FLOYD RD STE 5
RICHARDSON TX
75080-4243
US

V. Phone/Fax

Practice location:
  • Phone: 972-952-0280
  • Fax: 972-852-6005
Mailing address:
  • Phone: 972-952-0280
  • Fax: 972-852-6005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2182
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA09368
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: