Guillermo E Brachetta Md Pa

LBN: Guillermo E Brachetta Md Pa
Guillermo E Brachetta Md Pa is an health care organization with primary practice located at 2300 W Michigan Ave Ste 1 , Midland TX 79701-5855. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Guillermo E Brachetta Md Pa can be contacted via phone (432) 687-0181, or through Brachetta, Guillermo E via phone (432) 687-0181.

Contact Information

Primary practice address
2300 W Michigan Ave Ste 1 Midland TX 79701-5855
Fax: (432) 687-1003
Website:
Authorized official contact:
Name: Brachetta, Guillermo E MDPA

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X F5845 Texas

Profile Details

NPI number 1497047708
LBN Legal business name Guillermo E Brachetta Md Pa
DBA Doing business as
Authorized official Brachetta, Guillermo E MDPA
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2011
Last updated May 7th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497047708 NPPES
Texas MEDICAID 034852601

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