Organization
LEGACY WOMEN'S CLINIC,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORA LINDA BRADFORD RN,BSN,WHNP, B-C (NURSE PRACTITIONER)
(214) 649-9346
Entity
Organization
Contact information
Practice address
4100 MCEWEN RD, SUITE 130, DALLAS, TX 75244-5113
(214) 649-9346
(214) 295-9671
Mailing address
4100 MCEWEN RD, SUITE 130, DALLAS, TX 75244-5113
(214) 649-9346
(214) 295-9671
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
532543
TX
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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