Individual
DR. BRAD EUGENE MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10701 CORPORATE DR, SUITE 220, STAFFORD, TX 77477-4093
(281) 494-4304
(281) 494-4307
Mailing address
10701 CORPORATE DR, SUITE 220, STAFFORD, TX 77477-4093
(281) 494-4304
(281) 494-4307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-3631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100371701
—
TX
Enumeration date
09/28/2006
Last updated
12/15/2010
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