Boone, Bradley A

Boone, Bradley A is an individual health care provider with primary practice located at 3201 S Austin Ave , Georgetown TX 78626-7545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Boone, Bradley A can be contacted via phone (512) 459-8753.

Contact Information

Primary practice address
3201 S Austin Ave Georgetown TX 78626-7545
Phone: (512) 459-8753
Fax: (512) 483-6807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X P8338 Texas

Profile Details

NPI number 1730151457
LBN Legal business name Boone, Bradley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 25th, 2019 - about 5 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 1730151457 NPPES
Texas MEDICAID 333764R401

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