Organization
JASON C BRADFORD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON C BRADFORD M.D. (PRESIDENT)
(361) 945-0951
Entity
Organization
Contact information
Practice address
5920 SARATOGA BLVD, SUITE 395, CORPUS CHRISTI, TX 78414-4103
(361) 985-2700
Mailing address
PO BOX 2199, ALICE, TX 78333-2199
(361) 945-0951
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
10/29/2010
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