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BRADLEY AXLINE MD OBSTETRICS AND GYNECOLOGY PA NPI 1073868139


NPI Information

NPI: 1073868139
Provider Name: BRADLEY AXLINE MD OBSTETRICS AND GYNECOLOGY , PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1408 DEER PATH
FLOWER MOUND, TX
ZIP 75022
Phone: (301) 591-4184
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BRADLEY AXLINE MD OBSTETRICS AND GYNECOLOGY , PA is an obstetrics gynecology in Flower Mound, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BRADLEY AXLINE MD OBSTETRICS AND GYNECOLOGY , PA NPI is 1073868139. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1408 DEER PATH
FLOWER MOUND, TX
ZIP 75022
Phone: (301) 591-4184
Fax: (972) 559-3634

The provider's authorized official is Nizar Ahamed .
The authorized official title is Mgr and has the following contact phone number (301) 391-4184.

The enumeration date for this NPI number is 7/16/2012 and was last updated on 7/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyJ8198TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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