# ADELIA BRANNEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114911534
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H4186 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 07/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 060040008 | RAILROAD MEDICARE | TX |
| 05 | — | 121330802 | — | TX |
| 01 | — | 4265026 | AETNA | TX |
| 01 | — | 86Z062 | BCBS | TX |
| 01 | — | 87576Z | HMO BLUE | TX |