Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | F7704 | TX |
NPI | 1003844382 |
---|---|
Provider Name | Dr. John F. Bragan |
First Address | San Antonio, TX 78248-1710 |
Second Address | San Antonio, TX 78248-1710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 28/01/2022 |