Organization
C. MARSHALL BRADSHAW MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MARSHALL BRADSHAW MD (PRESIDENT)
(806) 355-1559
Entity
Organization
Contact information
Practice address
6103 W AMARILLO BLVD, SUITE A, AMARILLO, TX 79106-1936
(806) 355-1559
(806) 355-2273
Mailing address
6103 W AMARILLO BLVD, SUITE A, AMARILLO, TX 79106-1936
(806) 355-1559
(806) 355-2273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D2367
TX
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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