Dr. Robert Brady, MD
Pathology, Anatomic Pathology & Clinical Pathology in Fort Sam Houston, TX. Individual provider (NPI-1).
NPI number1184995987
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1184995987
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Brady
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2012
- Certification date
- Jan 26, 2022
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | S2735 | TX | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 0101249656 | VA | |
| 207ZP0213X | Pathology, Pediatric Pathology | S2735 | TX |
Practice location
3551 Roger Brooke Dr Dept OfFort Sam Houston, TX 78234-4504
Phone 210-916-2956 · Fax 210-916-3235
Mailing address
3551 Roger Brooke Dr Dept OfFort Sam Houston, TX 78234-4504
Phone 210-539-9582
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