Provider Demographics
NPI:1932633203
Name:GABE, BRADLEY ROSS (DO)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:ROSS
Last Name:GABE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15707 AMADOR RIO
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3682
Mailing Address - Country:US
Mailing Address - Phone:469-260-9096
Mailing Address - Fax:
Practice Address - Street 1:METHODIST HOSPITAL
Practice Address - Street 2:7700 FLOYD CURL DRIVE
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-575-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5893207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology