Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | K6816 | TX |
NPI | 1043270168 |
---|---|
Provider Name | Dr. Thomas G. Brammeier |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 03/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040015420 | RR/MEDICARE (01) | TX |
1054520-01 | CSHCN (01) | TX |
1054520-02 | (05) | TX |
87649K | BLUE SHIELD (01) | TX |
G32872 | (02) | TX |