Individual
DR. BRADLEY JOSEPH REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0591
(409) 772-1221
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N0399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3850432100
MYUTMB 3850432100-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
03/22/2010
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