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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1962594945 NPPES
Texas MEDICAID 100371701

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