NPI Code Details Logo

NPI 1245291764

NPI 1245291764 : ARTHUR WOODROW BRACEY JR. MD : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1245291764
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ARTHUR WOODROW BRACEY JR. MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/01/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6720 BERTNER AVE 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77030
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-785-8357
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 947 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77001-0947
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-355-2942
-----------------------------------------------------
    Fax                  |    832-355-4232
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207ZB0001X
-----------------------------------------------------
    Taxonomy Name        |    Blood Banking & Transfusion Medicine Physician
-----------------------------------------------------
    License Number       |    G0956
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207ZP0102X
-----------------------------------------------------
    Taxonomy Name        |    Anatomic Pathology & Clinical Pathology Physician
-----------------------------------------------------
    License Number       |    G0956
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.