Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELIZABETH CORICH BRADSHAW, D.O.
Active Sole ProprietorDR. ELIZABETH CORICH BRADSHAW, D.O. is a 202C00000X healthcare provider located in RICHARDSON, Texas. NPI 1104159177 is currently active in the NPPES registry. Verify at CMS.
202C00000X · RICHARDSON, TX
Registration Details
- NPI Number
- 1104159177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2009 (16.739763673355 yrs)
- Last Updated
- Sep 9, 2009
- Licenses
-
F6469 (TX)F6469 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
406 PROVINCETOWN LNRICHARDSON, TX, 750803421Browse TX providers · Browse ZIP 75080
- Phone
- 2143368540
- Fax
- 9722381448
- Primary Specialty
-
202C00000X
202C00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.