Individual
BRADLEY ALLEN BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1850 HICKORY ST, SUITE 102, ABILENE, TX 79601-2334
(325) 677-2801
(325) 677-9110
Mailing address
1850 HICKORY ST, SUITE 102, ABILENE, TX 79601-2334
(325) 677-2801
(325) 677-9110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q3146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346198001
—
TX
01
—
8FA310
BCBS
—
Enumeration date
06/12/2012
Last updated
09/25/2015
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