Axline, Bradley P

Axline, Bradley P is an individual health care provider with primary practice located at 2560 Central Park Ave. #340, Flower Mound TX 75028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Axline, Bradley P can be contacted via phone (972) 538-2100.

Contact Information

Primary practice address
2560 Central Park Ave. #340 Flower Mound TX 75028
Phone: (972) 538-2100
Fax: (972) 539-2231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J8198 Texas

Profile Details

NPI number 1538167374
LBN Legal business name Axline, Bradley P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Apr 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538167374 NPPES
Texas MEDICAID 118077004
Texas Other 8BJ298

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