Individual
LAURA BRANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
502 MADISON OAK DR, STE 440, SAN ANTONIO, TX 78258
(210) 946-1300
(210) 946-1700
Mailing address
502 MADISON OAK DR, STE 440, SAN ANTONIO, TX 78258-4189
(303) 318-3830
(303) 318-3825
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R6349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386207001
—
TX
01
—
R6349
MEDICAL LICENSE
TX
Enumeration date
06/19/2014
Last updated
06/26/2023
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