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Individual

JODI MICHELLE BRANNEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., PLLC

Contact information

Practice address
519 N KING ST STE 101, SEGUIN, TX 78155-4859
(830) 272-0210
(833) 963-2259
Mailing address
519 N KING ST STE 101, SEGUIN, TX 78155-4859
(830) 837-2902
(833) 963-2259

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P6786
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340935101
TX
Enumeration date
06/02/2009
Last updated
12/29/2020
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