Individual
BRADFORD C WINEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 320, AUSTIN, TX 78705-1019
(512) 454-0392
(512) 454-1233
Mailing address
3705 MEDICAL PKWY, SUITE 320, AUSTIN, TX 78705-1019
(512) 454-0392
(512) 454-1233
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F7316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116380001
—
TX
01
—
804489
BCBS
TX
Enumeration date
10/02/2006
Last updated
09/21/2010
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