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Individual

BRAD ROBISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(972) 233-1999
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
664561
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP109844
TX
367500000X
Certified Registered Nurse Anesthetist
M129476
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86323U
BLUE CROSS OF TEXAS
TX
Enumeration date
01/09/2007
Last updated
10/22/2019
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