Brady Mitchell Harrison PA

NPI 1033116736 - Physician Assistant - 363AM0700X

NPI Details
NPI 1033116736
Gender Male
Enumeration Date 07/07/2005
Last Updated 07/31/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2455 NE LOOP 410
SUITE 100
SAN ANTONIO TX, 78217-5649, US
Phone (210) 599-6000
Fax (210) 657-5586
Business Location
2455 NE LOOP 410
SUITE 100
SAN ANTONIO TX, 78217-5649, US
Phone (210) 599-6000
Fax (210) 657-5586
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA02499
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According to our database, Brady Mitchell Harrison PA NPI is 1033116736, taxonomy code is 363AM0700X and license number is PA02499, license state is located at Texas. Brady Mitchell Harrison PA physically located at 2455 Ne Loop 410, San Antonio TX, 78217-5649. NPI Number Brady Mitchell Harrison PA has the Individual type.

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1033116736 NPI number is provided on an as is basis without warranty of any kind. 1033116736 is maintained by the National Plan & Provider Enumeration System. The contents of Brady Mitchell Harrison PA are for informational purposes only.