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Contact Information

BRADLEY R PRESTIDGE MD PA
9102 FLOYD CURL DR
SUITE 1
SAN ANTONIO, TX78240-1553
 Phone: 210-247-0888
 Fax: 210-558-0758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BRADLEY R PRESTIDGE MD PA

NPI Number 1366779233
LBN Legal business name BRADLEY R PRESTIDGE MD PA
Authorized official BRADLEY PRESTIDGE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2009
Last updated 11/12/2009 - About 17 years ago
Identifiers
TX License # H8803
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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