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Organization

BRADY MEDICAL CLINIC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TINA L BUCY (OFFICE MANAGER)
(325) 597-2114
Entity
Organization

Contact information

Practice address
2010 NINE RD, BRADY, TX 76825-7210
(325) 597-2114
(325) 597-2155
Mailing address
2010 NINE RD, BRADY, TX 76825-7210
(325) 597-2114
(325) 597-2155

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0084HG
BCBS
TX
05
1478166-01
TX
Enumeration date
01/29/2007
Last updated
01/30/2013
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