| Ab Brannen Md Pllc | |
|
250 Blossom St Ste 100 Webster TX 77598-4243 | |
| (281) 724-0190 | |
| Not Available |
| Full Name | Ab Brannen Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Blossom St Ste 100, Webster, Texas |
| Authorized Official Name and Position | Adelia Brannen (MEMBER) |
| Authorized Official Contact | 2817240190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ab Brannen Md Pllc 250 Blossom St Ste 100 Webster TX 77598-4243 Ph: (281) 724-0190 | Ab Brannen Md Pllc 250 Blossom St Ste 100 Webster TX 77598-4243 Ph: (281) 724-0190 |
| NPI Number | 1457851446 |
|---|---|
| Provider Enumeration Date | 02/15/2018 |
| Last Update Date | 07/22/2020 |
| Medicare PECOS PAC ID | 7012271794 |
|---|---|
| Medicare Enrollment ID | O20180504000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457851446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H4186 (Texas) | Primary |
| Provider Name | Adelia B Brannen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114911534 PECOS PAC ID: 6800924796 Enrollment ID: I20100513000950 |
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