Individual provider · Type 1 NPI

Brady Vanham, PA

Surgical Physician Assistant · Houston, TX

NPI number 1609458207 Active

Practice location

7401 Main St
Houston, TX 77030-4509

Fax (833) 520-1440

Other practice locations

  • 6621 Fannin St, Houston, TX 77030-2399 · (832) 824-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000XPA14998 (TX)
Surgical Physician Assistant Primary 363AS0400XPA14998 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1609458207

Brady Vanham, PA's National Provider Identifier is 1609458207, issued on Apr 22, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Aug 29, 2024.