Individual
DR. BRADLEY JAMES VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6655 TRAVIS ST, HOUSTON, TX 77030-1312
(713) 500-8220
(713) 500-8210
Mailing address
6655 TRAVIS ST, HOUSTON, TX 77030-1312
(713) 500-8220
(713) 500-8210
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121360-01
—
TX
05
—
M927
—
SD
Enumeration date
08/25/2006
Last updated
01/03/2011
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