Individual
DR. BRADLEY FIELD BALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4515 MARSHA SHARP FWY, STE 516, LUBBOCK, TX 79407-2520
(806) 744-3302
(806) 740-3302
Mailing address
4515 MARSHA SHARP FEEWAY, LUBBOCK, TX 79407-2520
(806) 744-3302
(806) 740-3302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00014472
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201274001
ME AMER MED ASSOC
—
01
—
120310483
AHA AMER HEART ASSOC
—
Enumeration date
10/31/2006
Last updated
06/03/2009
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