Individual
BRADLEY SCOTT STEBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1032 PASADENA ST, PORTLAND, TX 78374-2904
(361) 633-1462
Mailing address
1032 PASADENA ST, PORTLAND, TX 78374-2904
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345828
TX
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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