Individual
WILLIAM DAN BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11617 N CENTRAL EXPY, SUITE 140, DALLAS, TX 75243-3800
(214) 369-4123
(214) 369-2791
Mailing address
11617 N CENTRAL EXPY, SUITE 140, DALLAS, TX 75243-3800
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1262122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538465901
NPI
TX
Enumeration date
08/07/2015
Last updated
08/07/2015
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