Individual
DAVID GREGORY BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6200 I-40 W, AMARILLO, TX 79106-2512
(806) 354-9764
(806) 355-2728
Mailing address
6200 I-40 W, AMARILLO, TX 79106-2512
(806) 354-9764
(806) 355-2728
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M7869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M7869
TX LICENSE
TX
Enumeration date
04/15/2008
Last updated
05/03/2011
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