Bradley Axline Md Obstetrics And Gynecology , Pa

NPI 1073868139 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1073868139
Enumeration Date 07/16/2012
Last Updated 07/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NIZAR NIZAR
Position MGR
Phone (301) 591-4184
Fax (972) 559-3634
Practice Location
1408 DEER PATH
FLOWER MOUND TX, 75022, US
Phone (301) 591-4184
Fax (972) 559-3634
Business Location
1408 DEER PATH
FLOWER MOUND TX, 75022, US
Phone (301) 591-4184
Fax (972) 559-3634
Toxanomy
Taxonomy Code 207V00000X
License State Texas
License Number J8198
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According to our database, Bradley Axline Md Obstetrics And Gynecology , Pa NPI is 1073868139, taxonomy code is 207V00000X and license number is J8198, license state is located at Texas. Bradley Axline Md Obstetrics And Gynecology , Pa physically located at 1408 Deer Path, Flower Mound TX, 75022. NPI Number 1033115704 has the healthcare provider type.

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1073868139 NPI number is provided on an as is basis without warranty of any kind. 1073868139 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Axline Md Obstetrics And Gynecology , Pa are for informational purposes only.