Individual
DR. BRADLEY BLAIR BIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16750 RED OAK DR, HOUSTON, TX 77090-2543
(281) 453-7110
(281) 440-2020
Mailing address
20320 NORTHWEST FWY, SUITE 900, JERSEY VILLAGE, TX 77065-5641
(281) 453-7232
(281) 440-2020
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
BP1-0026278
TX
2085R0202X
Diagnostic Radiology Physician
Primary
N4299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3851910300
MYUTMB 3851910300-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
10/03/2016
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