MEDICARE: DR. BRAYANN OSCAR ALEMAN DMD, MSD, FAACS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	0401417907	VA
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	37745	TX

General Provider Information

NPI Number	:	1104338185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRAYANN OSCAR ALEMAN DMD, MSD, FAACS

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 1280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2753
Country	:	US
Telephone Number	:	713-441-5577
Fax Number	:	713-793-1869

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2753
Country	:	US
Telephone Number	:	713-441-5577
Fax Number	:	713-793-1869

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

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	12/04/2023

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