M O D & ASSOCIATES INC NPI 1972911329

NPI Information

NPI: 1972911329
Provider Name: M O D & ASSOCIATES INC

Doing Business As: BRADLEY HEALTHCARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
888 GRAHAM DR
STE 100
TOMBALL, TX
ZIP 77375
Phone: (574) 253-1728
Get Directions

M O D & ASSOCIATES INC is a family nurse practitioner in Tomball, TX. M O D & ASSOCIATES INC NPI is 1972911329. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bradley Healthcare.

The provider's business location address is:

888 GRAHAM DR
STE 100
TOMBALL, TX
ZIP 77375-322
Phone: (574) 253-1728
Fax: (832) 559-8514

The provider's authorized official is Kathy Mackay .
The authorized official title is PRESIDENT FNPFnp and has the following contact phone number (574) 253-1728.

The enumeration date for this NPI number is 7/30/2014 and was last updated on 7/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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