Individual
BRADY NACOLE CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 747-2247
Mailing address
3605 EXECUTIVE DR, SAN ANGELO, TX 76904-6884
(325) 747-2247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16416
TX
Other
Enumeration date
02/07/2023
Last updated
09/12/2024
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