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Individual

DR. RANDALL WALTER BRAUCHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10740 N GESSNER RD, STE 310, HOUSTON, TX 77064-1240
(281) 897-0416
(281) 890-8908
Mailing address
2500 TANGLEWILDE, SUITE 160, HOUSTON, TX 77063-2123
(713) 781-9660
(713) 974-3672

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L0047
TX
207YP0228X
Pediatric Otolaryngology Physician
L0047
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
L0047
TX
207YS0123X
Facial Plastic Surgery Physician
L0047
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
L0047
TX
207YX0602X
Otolaryngic Allergy Physician
L0047
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
L0047
TX

Other

Enumeration date
12/29/2005
Last updated
08/09/2021
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