Individual
RHONDA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12221 MERIT DR STE 1610, DALLAS, TX 75251-2204
(214) 217-1926
Mailing address
3001 BLUE HERON DR, MESQUITE, TX 75181-4949
(214) 298-3817
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
653164
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
653164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330181401
—
TX
05
—
330181402
—
TX
Enumeration date
11/14/2013
Last updated
08/11/2022
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