Individual
DR. BRAD REX PIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1441 N. BECKLEY AVE., ATTN: DMPN, DALLAS, TX 75203
(214) 947-2385
(214) 947-2390
Mailing address
1441 N. BECKLEY AVE., ATTN: DMPN, DALLAS, TX 75203
(214) 947-2385
(214) 947-2390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K2260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043210603
—
TX
05
—
043210604
—
TX
01
—
8955K1
BCBS
TX
Enumeration date
02/02/2006
Last updated
02/22/2022
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