Individual
JASON L BRANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17198 ST LUKES WAY STE 600, THE WOODLANDS, TX 77384-8017
(936) 266-2650
(936) 266-8520
Mailing address
17521 ST LUKES WAY STE 600, THE WOODLANDS, TX 77384-8039
(936) 266-3516
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N9815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344487902
—
TX
Enumeration date
09/04/2008
Last updated
05/31/2022
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