Bradford Stager Commons MD

NPI 1003015157 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1003015157
Gender Male
Enumeration Date 07/17/2007
Last Updated 07/17/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5201 HARRY HINES BLVD
HOUSE STAFF & GME
DALLAS TX, 75235-7708, US
Phone (214) 590-8058
Fax
Business Location
5201 HARRY HINES BLVD
HOUSE STAFF & GME
DALLAS TX, 75235-7708, US
Phone (214) 590-8058
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Bradford Stager Commons MD NPI is 1003015157, taxonomy code is 390200000X Bradford Stager Commons MD physically located at 5201 Harry Hines Blvd, Dallas TX, 75235-7708. NPI Number Bradford Stager Commons MD has the Individual type.

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1003015157 NPI number is provided on an as is basis without warranty of any kind. 1003015157 is maintained by the National Plan & Provider Enumeration System. The contents of Bradford Stager Commons MD are for informational purposes only.