Individual
BARBARA SUE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9229 LBJ FWY STE 250, DALLAS, TX 75243-4403
(817) 589-4628
Mailing address
9229 LBJ FWY STE 250, DALLAS, TX 75243-4403
(817) 589-4628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J1886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096293801
—
TX
05
—
096293804
—
TX
05
—
096293805
—
TX
05
—
096293806
—
TX
05
—
096293807
—
TX
05
—
096293808
—
TX
05
—
096293809
—
TX
Enumeration date
08/22/2006
Last updated
04/27/2010
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