45D2110775 CLIA NUMBER - MICHAEL BRANCHEAU, MD, PLLC

Laboratory Demographics

CLIA Number: 45D2110775

Facility Name: MICHAEL BRANCHEAU, MD, PLLC

Facility Address:
9330 POPPY DRIVE SUITE 503
DALLAS, TX
ZIP 75218
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Facility Phone Number: 214 324-9301

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134288012

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	45D2110775
LAB Type	Physician Office
Facility Name	MICHAEL BRANCHEAU, MD, PLLC
Street	9330 POPPY DRIVE SUITE 503
City	DALLAS
State	TX
ZIP	75218
Phone	214 324-9301
CertificateType	4
CertificateEffectiveDate	3/23/2024
CertificateExpirationDate	3/22/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024