Individual
ASIANA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 N SAM HOUSTON PKWY E STE 238, HOUSTON, TX 77060-3320
(832) 761-3176
(832) 761-3176
Mailing address
350 N SAM HOUSTON PKWY E STE 238, HOUSTON, TX 77060-3320
(832) 761-3176
(832) 761-3176
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453081878
—
TX
Enumeration date
05/06/2020
Last updated
05/11/2020
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