Individual
JASON CLARK BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 CREEKSIDE XING STE 230, NEW BRAUNFELS, TX 78130-7532
(830) 302-4404
(830) 302-4407
Mailing address
PO BOX 5730, BELFAST, ME 04915-5700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N2012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203989302
—
TX
Enumeration date
06/08/2008
Last updated
12/10/2025
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