Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 593718 | TX |
NPI | 1083678007 |
---|---|
Provider Name | Cindy Dawson Brady |
First Address | Belton, TX 76513-2049 |
Second Address | Austin, TX 78705-2707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 08/07/2007 |