Brooks, Bradley Derl

Brooks, Bradley Derl is an individual health care provider with primary practice located at 5301 50Th Street #200 , Lubbock TX 79414. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Brooks, Bradley Derl can be contacted via phone (806) 792-2759.

Contact Information

Primary practice address
5301 50Th Street #200 Lubbock TX 79414
Phone: (806) 792-2759
Fax: (806) 792-3739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16481 Texas

Profile Details

NPI number 1952499279
LBN Legal business name Brooks, Bradley Derl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 17 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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