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Contact Information

BRAD A. BRAZEAL MD PA
300 WILLOW CREEK PKWY
STE 210
PALESTINE, TX75801-4421
 Phone: 903-723-1940
 Fax: 903-723-8307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRAD A BRAZEAL MD PA · (Female)

NPI # 1821283441
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2007
Last updated 02/01/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 50509
  • TX Medicaid 124200005
  • TX Medicaid 166535801
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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