Provider Demographics
NPI:1699149302
Name:BRANKER, ANTHONY JULIO (DC, MS, DACBSP)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JULIO
Last Name:BRANKER
Suffix:
Gender:M
Credentials:DC, MS, DACBSP
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:JULIO
Other - Last Name:BRANKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:6122 GLADEWELL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-1502
Mailing Address - Country:US
Mailing Address - Phone:832-580-9743
Mailing Address - Fax:
Practice Address - Street 1:6363 RICHMOND AVE STE 260
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5950
Practice Address - Country:US
Practice Address - Phone:832-580-9743
Practice Address - Fax:832-201-0797
Is Sole Proprietor?:No
Enumeration Date:2015-11-18
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13068111N00000X, 111NS0005X
TXAT36822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer