Michael, Brad Eugene
Michael, Brad Eugene is an sole proprietor health care provider with primary practice located at 10701 Corporate Dr Suite 220, Stafford TX 77477-4093. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Michael, Brad Eugene can be contacted via phone (281) 494-4304.Contact Information
Primary practice address
10701 Corporate Dr Suite 220
Stafford TX 77477-4093
Phone: (281) 494-4304
Fax: (281) 494-4307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2-3631 | Texas |
Profile Details
| NPI number | 1962594945 |
|---|---|
| LBN Legal business name | Michael, Brad Eugene |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Dec 15th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962594945 | NPPES |
| Texas | MEDICAID | 100371701 |
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