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Dr. William Hollis Bradshaw
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. William Hollis Bradshaw |
| Gender: | M |
| Provider License Number If Given: | H0205 |
NPI Information:
| NPI: | 1053310573 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 7/9/2007 |
Provider Business Mailing Address:
| Address: | 8534 VILLAGE DR SUITE B San Antonio, TX 78217 |
| Phone Number: | 2106546340 |
| Fax Number: | 2106546299 |
Provider Business Practice Location Address:
| Address: | 8534 VILLAGE DR SUITE B San Antonio, TX 78217 |
| Phone Number: | 2106546340 |
| Fax Number: | 2106546299 |
Provider Taxonomy:
| Primary: | 208600000X |
| Secondary (if any): | |
| State: | TX |
