Provider Demographics
NPI:1487838017
Name:CRAIGE, BRANCH III (MD)
Entity Type:Individual
Prefix:
First Name:BRANCH
Middle Name:
Last Name:CRAIGE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 CURIE
Mailing Address - Street 2:SUITE 5800
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2954
Mailing Address - Country:US
Mailing Address - Phone:915-533-2904
Mailing Address - Fax:915-533-8081
Practice Address - Street 1:1700 CURIE
Practice Address - Street 2:SUITE 5800
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2954
Practice Address - Country:US
Practice Address - Phone:915-533-2904
Practice Address - Fax:915-533-8081
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7433207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128564501Medicaid
TX00ME50Medicare PIN
TX128564501Medicaid