MEDICARE: DR. FRANK A BRANCACCIO 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	J8470	TX
2	207RP1001X	Pulmonary Disease Physician	J8470	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013918234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK A BRANCACCIO M.D.

Provider Business Mailing Address
First Line	:	5622 MCCOMMAS BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5636
Country	:	US
Telephone Number	:	214-957-1067
Fax Number	:	214-614-9184

Provider Business Practice Location Address
First Line	:	3500 GASTON AVE
Second Line	:	3RD AND 4TH FLOOR JONSSON BLDG
City	:	DALLAS
State	:	TX
Zip	:	75246-7524
Country	:	US
Telephone Number	:	214-957-1067
Fax Number	:	214-614-9184

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	10/03/2022

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Directions to “ DR. FRANK A BRANCACCIO M.D.” Practice Location

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