Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | E3654 | TX |
NPI | 1205810447 |
---|---|
Provider Name | Dr. Alan R Braid |
First Address | San Antonio, TX 78229-3712 |
Second Address | San Antonio, TX 78229-3735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 06/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123265402 | (05) | TX |
C13703 | (02) | TX |