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Individual

MAJOR R BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
6550 FANNIN ST, SUITE 1801, HOUSTON, TX 77030-2717
(713) 798-5975
Mailing address
PO BOX 4850, HOUSTON, TX 77210-4850
(713) 798-5995
(713) 798-1898

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33154
TX

Other

Enumeration date
09/26/2006
Last updated
01/31/2008
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