Provider Demographics
NPI:1639260920
Name:BRADEN, ALBERT H III (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:H
Last Name:BRADEN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3400 BISSONNET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2153
Mailing Address - Country:US
Mailing Address - Phone:713-662-2777
Mailing Address - Fax:713-665-6227
Practice Address - Street 1:3400 BISSONNET ST STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2153
Practice Address - Country:US
Practice Address - Phone:713-662-2777
Practice Address - Fax:713-665-6227
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8350207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89Y980OtherBLUE CROSS BLUE SHIELD
TX89Y980Medicare ID - Type Unspecified
TX89Y980OtherBLUE CROSS BLUE SHIELD