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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

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