Individual
DR. ALFRED B. BRADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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