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NPI Code Detail

MEDICARE: BRAUN MEDICAL ASSOCIATION, PA

MEDICARE: BRAUN MEDICAL ASSOCIATION, 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
1207V00000XObstetrics & Gynecology PhysicianDB155TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100T522OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1235315904
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAUN MEDICAL ASSOCIATION, PA
Provider Business Mailing Address
First Line : 3626 N HALL ST
Second Line : SUITE 900
City : DALLAS
State : TX
Zip : 75219-5105
Country : US
Telephone Number : 214-698-1081
Fax Number :
Provider Business Practice Location Address
First Line : 3626 N HALL ST
Second Line : SUITE 900
City : DALLAS
State : TX
Zip : 75219-5105
Country : US
Telephone Number : 214-698-1081
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. OPTA L BRAUN
Credential : M D
Telephone Number : 214-698-1081
Provider Enumeration Date : 01/12/2008
Last Update Date : 01/12/2008

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Directions to “BRAUN MEDICAL ASSOCIATION, PA ” Practice Location

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