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Individual

DR. JASON LEE BRAMLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0022036
TX
207L00000X
Anesthesiology Physician
Primary
N2415
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204083404
TX
01
2790064889
MYUTMB 2790064889
01
8FQ953
BCBS
TX
01
P01624108
RR MEDICARE
TX
Enumeration date
08/05/2007
Last updated
02/07/2017
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