Organization
REATHA S BRADBERRY FNP-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REATHA S BRADBERRY FNP-C (NURSE PRACTITIONER)
(409) 886-8700
Entity
Organization
Contact information
Practice address
3838 W PARK AVE, ORANGE, TX 77630-1812
(409) 886-8700
(409) 886-5305
Mailing address
3838 W PARK AVE, ORANGE, TX 77630-1812
(409) 886-8700
(409) 886-5305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
561891
TX
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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