# JASON C BRADFORD MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083851745
- **Authorized official:** DR. JASON C BRADFORD M.D. (PRESIDENT)
- **Authorized official phone:** (361) 945-0951

## Contact information

- **Practice address:** 5920 SARATOGA BLVD, SUITE 395, CORPUS CHRISTI, TX 78414-4103
- **Practice address phone:** (361) 985-2700
- **Mailing address:** PO BOX 2199, ALICE, TX 78333-2199
- **Mailing address phone:** (361) 945-0951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2009
- **Last updated:** 10/29/2010
