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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

NPI # 1821283441
LBN Legal business name BRAD A. BRAZEAL MD PA
Authorized official BRAD BRAZEAL - (SELF/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2007
Last updated 02/01/2016 - About 10 years ago
Identifiers
TX License # 50509
TX Medicaid 124200005
TX Medicaid 166535801
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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