MEDICARE: BRANCH CRAIGE 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	207R00000X	Internal Medicine Physician	F7433	TX

General Provider Information

NPI Number	:	1033110879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANCH CRAIGE MD PA

Provider Business Mailing Address
First Line	:	1700 CURIE
Second Line	:	SUITE 5800
City	:	EL PASO
State	:	TX
Zip	:	79902-2954
Country	:	US
Telephone Number	:	915-533-2904
Fax Number	:	915-533-8081

Provider Business Practice Location Address
First Line	:	1700 CURIE
Second Line	:	SUITE 5800
City	:	EL PASO
State	:	TX
Zip	:	79902-2954
Country	:	US
Telephone Number	:	915-533-2904
Fax Number	:	915-533-8081

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRANCH CRAIGE III
Credential	:	MD
Telephone Number	:	915-533-2904

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	04/28/2008

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