Provider Demographics
NPI:1013918234
Name:BRANCACCIO, FRANK A (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:BRANCACCIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5622 MCCOMMAS BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5636
Mailing Address - Country:US
Mailing Address - Phone:214-957-1067
Mailing Address - Fax:214-614-9184
Practice Address - Street 1:3500 GASTON AVE
Practice Address - Street 2:3RD AND 4TH FLOOR JONSSON BLDG
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-7524
Practice Address - Country:US
Practice Address - Phone:214-957-1067
Practice Address - Fax:214-614-9184
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2022-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8470207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046238403Medicaid
TXG42686Medicare UPIN