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NPI Code Detail

MEDICARE: BRADLEY D VESSEL PMHNP

MEDICARE:   BRADLEY D VESSEL  PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP119552TX
2363L00000XNurse Practitioner693051TX
3363L00000XNurse Practitioner102750LA
4363L00000XNurse PractitionerAP119552TX

General Provider Information

NPI Number : 1891884649
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY D VESSEL PMHNP
Provider Business Mailing Address
First Line : PO BOX 1939
Second Line : SUITE 130
City : LIVINGSTON
State : TX
Zip : 77351-0037
Country : US
Telephone Number : 713-960-8008
Fax Number : 713-960-0965
Provider Business Practice Location Address
First Line : 23051 KINGWOOD PLACE DR STE 110
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3962
Country : US
Telephone Number : 281-819-1566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 01/08/2026

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