Individual
DR. ELIZABETH CORICH BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
406 PROVINCETOWN LN, RICHARDSON, TX 75080-3421
(214) 336-8540
(972) 238-1448
Mailing address
406 PROVINCETOWN LN, RICHARDSON, TX 75080-3421
(214) 336-8540
(972) 238-1448
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
F6469
TX
207Q00000X
Family Medicine Physician
F6469
TX
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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