Bragg, Larry Mark

Bragg, Larry Mark is an individual health care provider with primary practice located at 561 N Graham St , Stephenville TX 76401-3548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bragg, Larry Mark can be contacted via phone (254) 918-6839.

Contact Information

Primary practice address
561 N Graham St Stephenville TX 76401-3548
Phone: (254) 918-6839
Fax: (254) 968-7979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E6247 Texas

Profile Details

NPI number 1649278466
LBN Legal business name Bragg, Larry Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 26th, 2007 - about 18 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 1649278466 NPPES
Texas MEDICAID 134488908

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