Individual
CRAIG BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-8143
(806) 743-2757
(806) 743-2563
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138726801
—
TX
Enumeration date
03/20/2006
Last updated
06/22/2009
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