Individual
ASHLEY ALISSA BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1888 ANTILLEY RD STE 200, ABILENE, TX 79606-1312
(325) 670-6580
(833) 972-0889
Mailing address
1888 ANTILLEY RD STE 200, ABILENE, TX 79606-1312
(325) 670-6580
(833) 972-0889
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2021001794
MO
208600000X
Surgery Physician
Primary
U5714
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/18/2015
Last updated
08/13/2024
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