Wesley Alan Bradshaw in Odessa - Chiropractor

Wesley Alan Bradshaw - NPI 1679573406

Wesley Alan Bradshaw is a Chiropractor in Odessa, Texas. Wesley Alan Bradshaw practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Wesley Alan Bradshaw is 1679573406. The last update date is 2008-09-15.

Wesley Alan Bradshaw's current location address is 2626 Jbs Pkwy, Odessa, Texas. You can contact this provider via phone number 4323332225 and fax number 4323332226. The mailing address for Wesley Alan Bradshaw is 2626 Jbs Pkwy, Odessa, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Wesley Alan Bradshaw
Address 2626 Jbs Pkwy, Odessa, Texas
Phone Number 4323332225
Fax Number 4323332226
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1679573406
Provider Enumeration Date 2005-07-22
Last Updated Date 2008-09-15

Provider Mailing Address Detail

Address 2626 Jbs Pkwy
City Odessa
State Texas (TX)
Post Code 797611958
Phone Number 4323332225
Fax Number 4323332226

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 6046
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
83470701 TX --

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FAQs about Wesley Alan Bradshaw

What is the unique identifier code issued to Wesley Alan Bradshaw by the Centers for Medicare & Medicaid Services?

The Wesley Alan Bradshaw has been assigned the NPI (National Provider Identifier) 1679573406. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Wesley Alan Bradshaw?

The Wesley Alan Bradshaw is physically situated at 2626 Jbs Pkwy, in the city of Odessa, state of TX, with the postal code 797611958.

What is the Wesley Alan Bradshaw's area of specialization and corresponding taxonomy classification?

The Wesley Alan Bradshaw's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Wesley Alan Bradshaw receive its 1679573406 assignment from the Centers for Medicare & Medicaid Services?

The Wesley Alan Bradshaw was assigned its 1679573406 by the Centers for Medicare & Medicaid Services on 2005-07-22.

When was the information regarding Wesley Alan Bradshaw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wesley Alan Bradshaw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-15.

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