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NPI Code Detail

MEDICARE: DR. DAN BRAJTBORD M.D.

MEDICARE:  DR. DAN  BRAJTBORD  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
1207L00000XAnesthesiology PhysicianG9835TX

General Provider Information

NPI Number : 1700889060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAN BRAJTBORD M.D.
Provider Business Mailing Address
First Line : 6301 GASTON AVE
Second Line : EAST TOWER SUITE 400
City : DALLAS
State : TX
Zip : 75214-3922
Country : US
Telephone Number : 214-217-8001
Fax Number :
Provider Business Practice Location Address
First Line : 6301 GASTON AVE
Second Line : EAST TOWER SUITE 400
City : DALLAS
State : TX
Zip : 75214-3922
Country : US
Telephone Number : 214-217-8001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 07/13/2007

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Directions to “ DR. DAN BRAJTBORD M.D.” Practice Location

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