Individual
DR. ANTHONY GEORGE BRADDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., P.C.
Contact information
Practice address
1305 1ST ST E, A, HUMBLE, TX 77338-4925
(281) 446-1041
(281) 446-4885
Mailing address
1305 1ST ST E, A, HUMBLE, TX 77338-4925
(281) 446-1041
(281) 446-4885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00665372
MEDICARE RAILROAD
TX
Enumeration date
10/26/2006
Last updated
10/20/2011
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