Individual
DAVID ANTHONY BRAUNREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Mailing address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
K8026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061LP
BLUE CROSS BLUE SHIELD
TX
05
—
047591502
—
TX
05
—
047591503
—
TX
05
—
047591504
—
TX
05
—
047591505
—
TX
05
—
047591506
—
TX
05
—
047591507
—
TX
05
—
047591508
—
TX
01
—
610119701
US DEPT OF LABOR
TX
01
—
610119705 BROOKS
US DEPT OF LABOR
TX
01
—
P00976676
MEDICARE RR
TX
01
—
P01078363
RR MEDICARE
TX
Enumeration date
03/14/2006
Last updated
03/17/2018
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