Individual
RONALD DALE BRAUGHTON
Active
Individual
RONALD DALE BRAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1636
SC
363A00000X
Physician Assistant
PA9110172
FL
363AM0700X
Medical Physician Assistant
Primary
MA060617
PA
363AM0700X
Medical Physician Assistant
PA 02489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219934101
—
TX
05
—
219934102
—
TX
Enumeration date
10/15/2010
Last updated
12/23/2020
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