Bradley, Jason Thomas

Bradley, Jason Thomas is an individual health care provider with primary practice located at 4321 Marsha Sharp Fwy , Lubbock TX 79407-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Bradley, Jason Thomas can be contacted via phone (806) 686-3500.

Contact Information

Primary practice address
4321 Marsha Sharp Fwy Lubbock TX 79407-2504
Phone: (806) 686-3500
Fax: (806) 701-4973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X L1532 Texas

Profile Details

NPI number 1073677977
LBN Legal business name Bradley, Jason Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jun 19th, 2024 - about 2 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 1073677977 NPPES
New Mexico MEDICAID 14984032
New Mexico MEDICAID 148315812
New Mexico Other P01690378

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