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General NPI Number Information
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NPI Number | 1366301640
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Entity Type | Organization
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Legal Business Name | BRADY DENTAL GROUP OF HOUSTON PLLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 2443 S GALVESTON AVE
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City | PEARLAND
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State | TX
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Zip | 77581-4222
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Country | US
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Telephone | 844-409-4657
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50006
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City | DENTON
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State | TX
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Zip | 76206-0006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADVOCACY
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Name | NIKEYIA BRAXTON
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Credential |
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Telephone | 844-409-4657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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