Organization
LARRY BRAGG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MARK BRAGG MD PA (PHYSICIAN)
(254) 965-2310
Entity
Organization
Contact information
Practice address
561 N GRAHAM ST, STEPHENVILLE, TX 76401-3548
(254) 965-2310
Mailing address
PO BOX 1698, STEPHENVILLE, TX 76401-0017
(254) 965-2310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E6247
TX
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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