Individual
HEATHER LEA BRANSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6317 HARRIS PKWY STE 300, FT WORTH, TX 76132-4258
(817) 361-6900
(817) 522-1968
Mailing address
6317 HARRIS PKWY STE 300, FT WORTH, TX 76132-4258
(817) 361-6900
(817) 522-1968
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6149
AK
207RG0100X
Gastroenterology Physician
Primary
R5247
TX
208000000X
Pediatrics Physician
MD4336
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014965
—
AK
Enumeration date
02/20/2007
Last updated
10/23/2018
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