Provider Demographics
NPI:1205810447
Name:BRAID, ALAN R (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:BRAID
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4499 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3712
Mailing Address - Country:US
Mailing Address - Phone:210-615-0866
Mailing Address - Fax:210-615-8321
Practice Address - Street 1:4499 MEDICAL DR
Practice Address - Street 2:230
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3735
Practice Address - Country:US
Practice Address - Phone:210-615-0866
Practice Address - Fax:210-615-8321
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE3654207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123265402Medicaid
TX123265402Medicaid
TX00H79B`Medicare ID - Type Unspecified