Faglie, Bradley Darrell

Faglie, Bradley Darrell is an individual health care provider with primary practice located at 1001 W Eagle Dr , Decatur TX 76234-3745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Faglie, Bradley Darrell can be contacted via phone (940) 627-7443.

Contact Information

Primary practice address
1001 W Eagle Dr Decatur TX 76234-3745
Phone: (940) 627-7443
Fax: (940) 627-7597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N5045 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N5045 Texas

Profile Details

NPI number 1841443264
LBN Legal business name Faglie, Bradley Darrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Sep 22nd, 2016 - about 9 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 1841443264 NPPES
Texas Other P00964976 RAILROAD MEDICARE
Texas MEDICAID 220200401 RAILROAD MEDICARE

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