Individual
LARRY MARK BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
561 N GRAHAM ST, STEPHENVILLE, TX 76401-3548
(254) 918-6839
(254) 968-7979
Mailing address
561 N GRAHAM ST, STEPHENVILLE, TX 76401-3548
(254) 918-6839
(254) 968-7979
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E6247
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134488908
—
TX
Enumeration date
07/14/2005
Last updated
04/26/2026
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