Bradley, Paul R

Bradley, Paul R is an individual health care provider with primary practice located at 703 E Marshall Ave Suite 5007, Longview TX 75601-5500. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Bradley, Paul R can be contacted via phone (903) 315-4455.

Contact Information

Primary practice address
703 E Marshall Ave Suite 5007 Longview TX 75601-5500
Phone: (903) 315-4455
Fax: (903) 315-2466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN12267 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X P6344 Texas

Profile Details

NPI number 1932369832
LBN Legal business name Bradley, Paul R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Sep 23rd, 2013 - about 11 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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