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Individual
MR. STEVEN GARY BRANNAN
Active
Individual
MR. STEVEN GARY BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
560360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130140008
—
TX
01
—
84197U
BCBS
TX
Enumeration date
12/18/2006
Last updated
04/13/2016
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