Individual
NATHANIEL DAVID BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11212 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-4498
(210) 703-8000
Mailing address
1022 S APACHE DR, WICHITA, KS 67207-2802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
U3796
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
06/07/2023
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