Individual
DR. KALONDA K BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P3860
TX
2084P0804X
Child & Adolescent Psychiatry Physician
P3860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304816701
—
TX
01
—
8W5242
BCBS
TX
Enumeration date
06/06/2008
Last updated
06/27/2014
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