Braly, Walter Grant
Braly, Walter Grant is an sole proprietor health care provider with primary practice located at 7401 South Main St , Houston TX 77030-4509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Braly, Walter Grant can be contacted via phone (713) 799-2300.Contact Information
Primary practice address
7401 South Main St
Houston TX 77030-4509
Phone: (713) 799-2300
Fax: (713) 794-3380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | F3774 | Texas |
Profile Details
| NPI number | 1285622795 |
|---|---|
| LBN Legal business name | Braly, Walter Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jun 15th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285622795 | NPPES |
| Texas | Other | 086M124 | MEDICARE ID |
| Texas | MEDICAID | 133937603 | MEDICARE ID |
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