Provider Demographics
NPI:1952342123
Name:HSU, BRANDEN (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDEN
Middle Name:
Last Name:HSU
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 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:909 FROSTWOOD DR
Practice Address - Street 2:SUITE 221
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2301
Practice Address - Country:US
Practice Address - Phone:713-467-1722
Practice Address - Fax:713-467-1704
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8916207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156984006Medicaid
TX156984003Medicaid
TX8R1470OtherBLUE CROSS OF TX
TX156984005Medicaid
TX156984004Medicaid
TX156984002Medicaid
TX156984009Medicaid
TX156984002Medicaid
TX156984006Medicaid
TX156984004Medicaid
TX156984005Medicaid
TX156984003Medicaid
TXTXB128569Medicare PIN
TX8G8843Medicare PIN
TX8G6422Medicare PIN