Bradbury, Timothy Allen
Bradbury, Timothy Allen is an sole proprietor health care provider with primary practice located at 210 Kingfisher Dr , Sugar Land TX 77478-4710. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bradbury, Timothy Allen can be contacted via phone (713) 826-2150.Contact Information
Primary practice address
210 Kingfisher Dr
Sugar Land TX 77478-4710
Phone: (713) 826-2150
Fax: (281) 242-0994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13843 | Texas |
Profile Details
| NPI number | 1932119476 |
|---|---|
| LBN Legal business name | Bradbury, Timothy Allen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jan 29th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932119476 | NPPES |
| Texas | MEDICAID | 162538601 |
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