| David M. Dranetz, M.d., P.l.l.c. | |
|
3322 Longmire Dr Ste 100 College Station TX 77845-6088 | |
| (979) 200-2043 | |
| Not Available |
| Full Name | David M. Dranetz, M.d., P.l.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3322 Longmire Dr Ste 100, College Station, Texas |
| Authorized Official Name and Position | David M. Dranetz (OWNER) |
| Authorized Official Contact | 5082925366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Dranetz, M.d., P.l.l.c. 3515 Longmire Drive Suite B Box 178 College Station TX 77845-5489 Ph: (508) 292-5366 | David M. Dranetz, M.d., P.l.l.c. 3322 Longmire Dr Ste 100 College Station TX 77845-6088 Ph: (979) 200-2043 |
| NPI Number | 1295263598 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 01/18/2021 |
| Certification Date | 01/18/2021 |
| Medicare PECOS PAC ID | 2668742156 |
|---|---|
| Medicare Enrollment ID | O20170724000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295263598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K5906 (Texas) | Primary |
| Provider Name | David M Dranetz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225088321 PECOS PAC ID: 4082665534 Enrollment ID: I20100202000612 |
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