Harrison, Brady Mitchell

Harrison, Brady Mitchell is an individual health care provider with primary practice located at 2455 Ne Loop 410 Suite 100, San Antonio TX 78217-5649. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Harrison, Brady Mitchell can be contacted via phone (210) 599-6000.

Contact Information

Primary practice address
2455 Ne Loop 410 Suite 100 San Antonio TX 78217-5649
Phone: (210) 599-6000
Fax: (210) 657-5586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA02499 Texas

Profile Details

NPI number 1033116736
LBN Legal business name Harrison, Brady Mitchell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 17th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033116736 NPPES
Texas Other 313789501 WELLMED MEDICAID
Texas Other TXB155678 WELLMED MEDICAID

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