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Individual

BRADLEY BOMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-9181
Mailing address
2701 HOSPITAL DR STE 114, VICTORIA, TX 77901-5748
(361) 582-7999

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1031296
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
770765
TEXAS BON
TX
Enumeration date
09/22/2020
Last updated
02/04/2023
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