Individual
BRADLEY JOSEPH VANDER ZANDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, PA-C
Contact information
Practice address
36065 SANTE FE AVENUE, FORT HOOD, TX 76544
(254) 288-8000
Mailing address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544-5060
(920) 202-2048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA13661
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10091435
TX
Other
Enumeration date
01/26/2017
Last updated
02/18/2025
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