Anne Marie Brancaccio
General Practice Physician
5323 Harry Hines Blvd
Dallas
, Texas 75390-7208
Anne Marie Brancaccio
General Practice Physician
5323 Harry Hines Blvd
Dallas
, Texas 75390-7208
(214) 645-8600
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Anne Marie Brancaccio
- Po Box 845347
- Dallas, TX
- Zip : 75284-5347
- Phone : (214) 645-8600
Second Address
- Anne Marie Brancaccio
- 5323 Harry Hines Blvd
- Dallas, TX
- Zip : 75390-7208
- Phone : (214) 645-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | L8188 | TX |
National Provider Identifier
| NPI | 1013977909 |
|---|---|
| Provider Name | Anne Marie Brancaccio |
| First Address | Dallas, TX 75284-5347 |
| Second Address | Dallas, TX 75390-7208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 31/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G74224 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.