Braverman, Maxwell Allen

Braverman, Maxwell Allen is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Braverman, Maxwell Allen can be contacted via phone (210) 358-2078.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Fax: (210) 358-1972
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C7-0005355 Delaware
Allopathic & Osteopathic Physicians / Surgery 208600000X R5517 Texas

Profile Details

NPI number 1346683018
LBN Legal business name Braverman, Maxwell Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2013
Last updated Oct 25th, 2018 - about 7 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346683018 NPPES
Texas MEDICAID 388513901
Texas Other 388513902

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