Bradley, Craig

Bradley, Craig is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-8143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bradley, Craig can be contacted via phone (806) 743-2757.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-8143
Phone: (806) 743-2757
Fax: (806) 743-2563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42420 Texas

Profile Details

NPI number 1558320648
LBN Legal business name Bradley, Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jun 22nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558320648 NPPES
Texas MEDICAID 138726801

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