Individual
DR. ROBERT G. BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(800) 257-8715
(800) 819-1655
Mailing address
13806 E HILLSIDE DR, SAN ANTONIO, TX 78249-2526
(210) 696-6716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86022A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/23/2007
Last updated
07/08/2007
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