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Individual
MARK BRANSON
Active
Individual
MARK BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1056311
TX
363LA2100X
Acute Care Nurse Practitioner
1056311
TX
Other
Enumeration date
10/25/2021
Last updated
10/07/2026
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