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Individual
DR. RICHARD BRADLEY DRAKE
Active
Individual
DR. RICHARD BRADLEY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
15907
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15907
TX
Other
Enumeration date
12/12/2006
Last updated
06/15/2022
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