Individual
DAWN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 WALLACE BLVD, AMARILLO, TX 79106-1745
(806) 212-0699
Mailing address
5707 HAMPTON DR, AMARILLO, TX 79109-7141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174455902
—
TX
05
—
200067830A
—
OK
05
—
23435879
—
NM
Enumeration date
07/11/2006
Last updated
02/27/2012
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