Provider Demographics
NPI:1992193338
Name:BRADY, CURTIS W (FNP-C)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:W
Last Name:BRADY
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4316 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1812
Mailing Address - Country:US
Mailing Address - Phone:806-701-5858
Mailing Address - Fax:806-701-5799
Practice Address - Street 1:1910 QUAKER AVE
Practice Address - Street 2:STE. 101
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-2400
Practice Address - Country:US
Practice Address - Phone:806-725-4440
Practice Address - Fax:806-725-4441
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily