Individual
BRAD A BRAZEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WILLOW CREEK PKWY, STE 210, PALESTINE, TX 75801-4389
(903) 723-1940
(903) 723-8307
Mailing address
300 WILLOW CREEK PKWY, STE 210, PALESTINE, TX 75801-4389
(903) 723-1940
(903) 723-8307
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J3283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166535801
—
TX
Enumeration date
11/21/2005
Last updated
04/01/2021
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