Individual
BRADFORD S WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9301 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0805
(214) 220-2468
(214) 378-3325
Mailing address
9301 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0805
(214) 220-2468
(214) 378-3325
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
56732
CT
207X00000X
Orthopaedic Surgery Physician
84354
GA
207X00000X
Orthopaedic Surgery Physician
MD.204435
LA
207X00000X
Orthopaedic Surgery Physician
Primary
T0379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07436264
—
MS
05
—
1957780
—
LA
Enumeration date
06/18/2009
Last updated
04/15/2021
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