Organization
MICHAEL BRADEN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAM BRADEN M.D. (PRESIDENT)
(830) 992-9189
Entity
Organization
Contact information
Practice address
641 HIGH STREET, COMFORT, TX 78013
(830) 997-0854
Mailing address
641 HIGH STREET, COMFORT, TX 78013
(830) 997-0854
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H0203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151360801
—
TX
Enumeration date
03/05/2007
Last updated
12/18/2020
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