Individual
DR. RICHARD BRADLEY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14603 HUEBNER RD BLDG 4, SAN ANTONIO, TX 78230-5473
(210) 541-9001
(210) 698-3845
Mailing address
14603 HUEBNER RD BLDG 4, SAN ANTONIO, TX 78230-5473
(210) 541-9001
(210) 579-7200
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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