Organization
ALFRED B. BRADY, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED B BRADY M.D. (M.D.)
(409) 892-1192
Entity
Organization
Contact information
Practice address
755 N 11TH ST, SUITE P2200, BEAUMONT, TX 77702-1500
(409) 892-1192
(409) 923-5074
Mailing address
755 N 11TH ST, SUITE P2200, BEAUMONT, TX 77702-1500
(409) 892-1192
(409) 923-5074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D3567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080142501
—
TX
05
—
133824608
—
TX
01
—
P00678723
MEDICARE RAILROAD
TX
Enumeration date
03/03/2009
Last updated
01/28/2010
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