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Individual

DR. ALFRED B. BRADY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
755 N 11TH ST, STE P2200, BEAUMONT, TX 77702-1500
(409) 892-1192
(409) 924-9012
Mailing address
755 N 11TH ST, STE P2200, BEAUMONT, TX 77702-1500
(409) 892-1192
(409) 924-9012

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D3567
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0473832
AETNA ID
TX
05
1338246
TX
01
76-0091070
OTHER INSURANCE CO.
TX
01
BLUE CROSS
BLUE CROSS
TX
Enumeration date
05/23/2005
Last updated
03/30/2011
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