Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 06013379A | IN |
Y | 208600000X | Surgeon | 06013379A | IN |
N | 2086S0129X | Vascular Surgeon | 74386 | WI |
N | 2086S0129X | Vascular Surgeon | MD474815 | PA |
NPI | 1033320213 |
---|---|
Provider Name | Dr. Brandon W Propper |
First Address | Fredericksburg, TX 78624-4478 |
Second Address | Lackland A F B, TX 78236-9907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2007 |
Last Update Date | 30/08/2021 |