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General NPI Number Information
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NPI Number | 1528420320
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Entity Type | Individual
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Provider Name | DANIEL BRADKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 18980 W MEMORIAL DR STE 450
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City | HUMBLE
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State | TX
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Zip | 77338-4575
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Country | US
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Telephone | 281-812-4447
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Fax | 281-540-8748
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Provider Business Mailing Address
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Address Line | 930 FROSTWOOD DR STE 2.200
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City | HOUSTON
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State | TX
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Zip | 77024-2450
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Country | US
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Telephone | 713-338-5502
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Fax | 713-338-6500
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | S5330
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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