Individual
CALVIN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 HEWITT DR, WACO, TX 76712-8486
(254) 202-7800
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10051099
TX
207Q00000X
Family Medicine Physician
Primary
R1179
TX
Other
Enumeration date
05/28/2014
Last updated
11/14/2023
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