Dr. Richard Bradley Drake
Oral & Maxillofacial Surgeon
14603 Huebner Rd Bldg 4
San Antonio
, Texas 78230-5473
Dr. Richard Bradley Drake
Oral & Maxillofacial Surgeon
14603 Huebner Rd Bldg 4
San Antonio
, Texas 78230-5473
(210) 579-7200
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Richard Bradley Drake
- 14603 Huebner Rd Bldg 4
- San Antonio, TX
- Zip : 78230-5473
- Fax : (210) 579-7200
- Phone : (210) 541-9001
Second Address
- Dr. Richard Bradley Drake
- 14603 Huebner Rd Bldg 4
- San Antonio, TX
- Zip : 78230-5473
- Fax : (210) 698-3845
- Phone : (210) 541-9001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 15907 | TX |
National Provider Identifier
| NPI | 1104987478 |
|---|---|
| Provider Name | Dr. Richard Bradley Drake |
| First Address | San Antonio, TX 78230-5473 |
| Second Address | San Antonio, TX 78230-5473 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2006 |
| Last Update Date | 07/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.