Harville, Bradley C.

Harville, Bradley C. is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Harville, Bradley C. can be contacted via phone (903) 606-4522.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 606-4522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 649837 Texas

Profile Details

NPI number 1457323586
LBN Legal business name Harville, Bradley C.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated May 1st, 2024 - about 4 months 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 1457323586 NPPES
Texas MEDICAID 165123401
Texas Other 1O6211
Texas MEDICAID 165123408

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