Individual
MARY JANE EMILY BRAUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11111 RESEARCH BLVD, SUITE 230, AUSTIN, TX 78759-5264
(512) 795-4620
Mailing address
205 E UNIVERSITY AVE, GEORGETOWN, TX 78626-6814
(512) 454-5721
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J6347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170195502
—
TX
01
—
8J9153
BCBS
TX
Enumeration date
08/01/2006
Last updated
02/23/2021
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