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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 |