Individual
DR. PAUL R BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 E MARSHALL AVE STE 5008, LONGVIEW, TX 75601-5557
(903) 315-4455
(903) 315-2466
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 315-4105
(903) 315-4130
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P6344
TX
390200000X
Student in an Organized Health Care Education/Training Program
TRN12267
FL
Other
Enumeration date
06/13/2008
Last updated
07/08/2025
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