Provider Demographics
NPI:1912004425
Name:BRACAMONTES, FRANCISCO I (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:I
Last Name:BRACAMONTES
Suffix:
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:PO BOX 4449
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4449
Mailing Address - Country:US
Mailing Address - Phone:956-618-5209
Mailing Address - Fax:956-618-5210
Practice Address - Street 1:1200 E SAVANNAH AVE STE 20
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1728
Practice Address - Country:US
Practice Address - Phone:956-618-5209
Practice Address - Fax:956-618-5210
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5264208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX09662280Medicaid
TX096622801Medicaid
TX096622801Medicaid
TX00434JMedicare PIN
TX00434JOtherBCBS