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Individual

DR. LIESL KIRSTEN BREDESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7777 FOREST LN STE D-1200, DALLAS, TX 75230-2571
(214) 365-1150
(214) 363-2477
Mailing address
7777 FOREST LN STE D-1200, DALLAS, TX 75230-2571
(214) 365-1150
(214) 363-2477

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
K3012
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
K3012
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164525101
TX
Enumeration date
05/17/2006
Last updated
03/17/2022
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