Theriot, Brad A

Theriot, Brad A is an individual health care provider with primary practice located at 2501 W William Cannon Dr Suite 6B, Austin TX 78745-5281. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Theriot, Brad A can be contacted via phone (512) 447-6684.

Contact Information

Primary practice address
2501 W William Cannon Dr Suite 6B Austin TX 78745-5281
Phone: (512) 447-6684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 13698 Texas

Profile Details

NPI number 1649242132
LBN Legal business name Theriot, Brad A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 4th, 2014 - about 10 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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