Individual
DR. CRAIG IAN BRAWNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5790 WILLIAMS DR, GEORGETOWN, TX 78633-9209
(512) 869-8867
Mailing address
11851 JOLLYVILLE RD, STE 101, AUSTIN, TX 78759
(512) 258-4144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD3698
NM
1223G0001X
General Practice Dentistry
Primary
DD3698
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31599
DENTAL LICENSE
TX
Enumeration date
07/12/2012
Last updated
11/26/2024
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