Provider Demographics
NPI:1720141146
Name:BRANNING, GEORGE BENSON (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:BENSON
Last Name:BRANNING
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 1:5757 WARREN PKWY
Mailing Address - Street 2:#310
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4274
Mailing Address - Country:US
Mailing Address - Phone:214-824-2547
Mailing Address - Fax:214-618-8038
Practice Address - Street 1:5757 WARREN PKWY
Practice Address - Street 2:#310
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4274
Practice Address - Country:US
Practice Address - Phone:214-824-2547
Practice Address - Fax:214-618-8038
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7920207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102436602Medicaid
TX102436602Medicaid
E52099Medicare UPIN