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1881874394
CHARLES BRADY HUMPHREY
TEXARKANA, TX
NPI
1881874394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02592)
Enumeration Date
2007-11-13
Last Update Date
2021-05-07
Business Address
CHARLES BRADY HUMPHREY PA
2604 SAINT MICHAEL DR STE 425
TEXARKANA, TX 75503-2379
Phone number: 903-614-5600
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Mailing Address
CHARLES BRADY HUMPHREY PA
919 HIDDEN RDG
IRVING, TX 75038-3813
Phone number: 469-282-2711
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