Todd Wesley Bradshaw in Amarillo - Student In An Organized Health Care Education/training Program

Todd Wesley Bradshaw - NPI 1669636031

Todd Wesley Bradshaw is a Student In An Organized Health Care Education/training Program in Amarillo, Texas. Todd Wesley Bradshaw practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Todd Wesley Bradshaw is 1669636031. The last update date is 2015-03-12.

Todd Wesley Bradshaw's current location address is 1100 S Coulter St, Amarillo, Texas. You can contact this provider via phone number 8064689700 and fax number 8064689771. The mailing address for Todd Wesley Bradshaw is 1100 S Coulter St, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Todd Wesley Bradshaw
Address 1100 S Coulter St, Amarillo, Texas
Phone Number 8064689700
Fax Number 8064689771
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1669636031
Provider Enumeration Date 2008-07-15
Last Updated Date 2015-03-12

Provider Mailing Address Detail

Address 1100 S Coulter St
City Amarillo
State Texas (TX)
Post Code 791061836
Phone Number 8064689700
Fax Number 8064689771

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No N8617
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Todd Wesley Bradshaw

What is the Todd Wesley Bradshaw's 1669636031?

The Todd Wesley Bradshaw's NPI (National Provider Identifier) Number is 1669636031. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Todd Wesley Bradshaw is physically located?

The Todd Wesley Bradshaw is situated at the following address: 1100 S Coulter St, Amarillo, TX 791061836.

What is Todd Wesley Bradshaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Todd Wesley Bradshaw's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1669636031 to Todd Wesley Bradshaw?

The Centers for Medicare & Medicaid Services originally issued the 1669636031 to Todd Wesley Bradshaw on 2008-07-15.

When was the information regarding Todd Wesley Bradshaw most recently updated?

The details pertaining to the Todd Wesley Bradshaw, including its address, specialty, and other relevant information, were last refreshed on 2015-03-12.

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