Organization
BRADLEY AXLINE MD OBSTETRICS AND GYNECOLOGY , PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIZAR AHAMED (MGR)
(301) 391-4184
Entity
Organization
Contact information
Practice address
1408 DEER PATH, FLOWER MOUND, TX 75022
(301) 591-4184
(972) 559-3634
Mailing address
1408 DEER PATH, FLOWER MOUND, TX 75022
(301) 591-4184
(972) 559-3634
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J8198
TX
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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