MEDICARE: DR. JOHN F. BRAGAN 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
1	207P00000X	Emergency Medicine Physician	F7704	TX

General Provider Information

NPI Number	:	1003844382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN F. BRAGAN M.D.

Provider Business Mailing Address
First Line	:	1610 WOOD QUAIL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1710
Country	:	US
Telephone Number	:	210-416-4420
Fax Number	:	210-492-4317

Provider Business Practice Location Address
First Line	:	1610 WOOD QUAIL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1710
Country	:	US
Telephone Number	:	210-416-4420
Fax Number	:	210-492-4317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	01/28/2022

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