Individual
CATHERINE PROVENZALE BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3600 GASTON AVE, SUITE 703, DALLAS, TX 75246-1800
(214) 823-4206
Mailing address
3600 GASTON AVE, SUITE 703, DALLAS, TX 75246-1800
(214) 823-4200
(214) 823-4206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06652
TX
Other
Enumeration date
02/24/2011
Last updated
07/17/2012
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