Provider Demographics
NPI:1891884649
Name:VESSEL, BRADLEY D (NP)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:D
Last Name:VESSEL
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Gender:M
Credentials:NP
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Mailing Address - Street 1:PO BOX 1939
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-0037
Mailing Address - Country:US
Mailing Address - Phone:713-960-8008
Mailing Address - Fax:713-960-0965
Practice Address - Street 1:4545 POST OAK PLACE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3164
Practice Address - Country:US
Practice Address - Phone:713-960-8008
Practice Address - Fax:713-960-0965
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-06-23
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Provider Licenses
StateLicense IDTaxonomies
TXAP119552363L00000X
LA102750363L00000X
TX693051363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner