Organization
BRADSHAW CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY ALAN BRADSHAW DC (OWNER)
(432) 333-2225
Entity
Organization
Contact information
Practice address
2626 JOHN BEN SHEPPERD PKWY, SUITE 100A, ODESSA, TX 79761-1958
(432) 333-2225
(432) 333-2226
Mailing address
2626 JOHN BEN SHEPPERD PKWY, SUITE 100A, ODESSA, TX 79761-1958
(432) 333-2225
(432) 333-2226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083470701
—
TX
Enumeration date
03/27/2007
Last updated
09/15/2008
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