Individual
MAKAYLA J BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
50 HILLCREST MEDICAL BLVD STE 102, WACO, TX 76712-8953
(254) 202-7950
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81280
AUDIOLOGY
TX
Enumeration date
07/28/2020
Last updated
01/27/2022
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