Individual
BRADLEY LAWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 753-3516
Mailing address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(619) 770-7496
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q6867
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
07/26/2016
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