Organization
BRADLEY FRIEDMAN M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY RYAN FRIEDMAN M.D. (OWNER)
(972) 668-0821
Entity
Organization
Contact information
Practice address
11560 TEEL PKWY, SUITE #100, FRISCO, TX 75034-4430
(972) 668-0821
Mailing address
11560 TEEL PKWY, SUITE #100, FRISCO, TX 75034-4430
(972) 668-0821
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M5168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095QC
BLUE CROSS NUMBER
TX
Enumeration date
05/17/2007
Last updated
01/29/2008
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