Individual
ADELIA BRANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 BLOSSOM ST STE 100, WEBSTER, TX 77598-4243
(281) 724-0190
(832) 632-2415
Mailing address
250 BLOSSOM ST STE 100, WEBSTER, TX 77598-4243
(281) 724-0190
(832) 632-2415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H4186
TX
Other
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
Enumeration date
08/31/2005
Last updated
07/22/2020
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