| Doctor Name: | ANNE MARIE BRANCACCIO |
| NPI Number: | 1013977909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | L8188 |
| Business Practice Address: | 5323 Harry Hines Blvd Dallas, TX - 753907208 |
| Business Phone Number: | 2146458600 |
| Business Fax Number: | |
| Mailing Address: | Po Box 845347, DALLAS |
| State: | TX |
| Postal Code: | 752845347 |
| Phone Number: | 2146458600 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L8188 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |