Organization
GUILLERMO E BRACHETTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO E BRACHETTA MDPA (OWNER)
(432) 687-0181
Entity
Organization
Contact information
Practice address
2300 W MICHIGAN AVE STE 1, MIDLAND, TX 79701-5855
(432) 687-0181
(432) 687-1003
Mailing address
2300 W MICHIGAN AVE STE 1, MIDLAND, TX 79701-5855
(432) 687-0181
(432) 687-1003
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F5845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034852601
—
TX
Enumeration date
05/04/2011
Last updated
05/07/2012
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