Organization
STEVEN A. BRANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BRANCH R PH (OWNER)
(361) 552-2999
Entity
Organization
Contact information
Practice address
1202 N VIRGINIA ST, PORT LAVACA, TX 77979-2507
(361) 552-2999
(361) 552-1566
Mailing address
1202 N VIRGINIA ST, PORT LAVACA, TX 77979-2507
(361) 552-2999
(361) 552-1566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
11/09/2007
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