Individual
BRADLEY HENRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HARBORSIDE DR, STE 126, GALVESTON, TX 77555-0001
(409) 266-0227
(409) 877-7077
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47071
TX
207Q00000X
Family Medicine Physician
Primary
T7236
TX
Other
Enumeration date
06/26/2017
Last updated
04/13/2026
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