Individual
BRADLEY JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST, JJL 431, HOUSTON, TX 77030-1501
(713) 500-7882
Mailing address
6431 FANNIN ST, JJL 431, HOUSTON, TX 77030-1501
(713) 500-7882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N8055
TX
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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