Individual
BRADLEY MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
406 DOE WHISPER WAY, AUSTIN, TX 78738-7085
(512) 265-6182
Mailing address
406 DOE WHISPER WAY, AUSTIN, TX 78738-7085
(512) 265-6182
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1316453
TX
208100000X
Physical Medicine & Rehabilitation Physician
36927
CA
Other
Enumeration date
08/05/2010
Last updated
07/08/2020
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