Individual
DENISE RENEE BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 S SARA RD STE 200, MUSTANG, OK 73064
(405) 578-3250
(405) 578-3299
Mailing address
201 S SARA RD STE 200, MUSTANG, OK 73064-4308
(405) 578-3250
(405) 578-3299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2433
OK
363A00000X
Physician Assistant
PA04415
TX
Other
Enumeration date
12/04/2008
Last updated
10/22/2020
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