Individual
DR. CARLA C BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18400 KATY FWY, SUITE 560, HOUSTON, TX 77094-1286
(832) 522-3240
Mailing address
18400 KATY FWY, SUITE 560, HOUSTON, TX 77094-1286
(832) 522-3240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-29699
KS
208600000X
Surgery Physician
Primary
P8222
TX
2086S0102X
Surgical Critical Care Physician
04-29699
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100425270A
—
KS
05
—
205913908
—
MO
01
—
31519012
BCBS KANSAS CITY
MO
05
—
339836403
—
TX
05
—
339836404
—
TX
01
—
436730
FIRSTGUARD
KS
01
—
8FB774
BLUE CROSS BLUE SHIELD
TX
01
—
8GD827
BCBS
TX
Enumeration date
09/22/2006
Last updated
12/19/2016
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