Bradford Stager Commons
Emergency Physician
5201 Harry Hines Blvd House Staff & Gme
Dallas
, Texas 75235-7708
Bradford Stager Commons
Emergency Physician
5201 Harry Hines Blvd House Staff & Gme
Dallas
, Texas 75235-7708
(214) 590-8058
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Bradford Stager Commons
- 5201 Harry Hines Blvd House Staff & Gme
- Dallas, TX
- Zip : 75235-7708
- Phone : (214) 590-8058
Second Address
- Bradford Stager Commons
- 5201 Harry Hines Blvd House Staff & Gme
- Dallas, TX
- Zip : 75235-7708
- Phone : (214) 590-8058
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | C174324 | CA |
| N | 207P00000X | Emergency Physician | N6229 | TX |
National Provider Identifier
| NPI | 1003015157 |
|---|---|
| Provider Name | Bradford Stager Commons |
| First Address | Dallas, TX 75235-7708 |
| Second Address | Dallas, TX 75235-7708 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2007 |
| Last Update Date | 05/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.