Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 157194 | NC |
Y | 207RX0202X | Medical Oncology | Q0933 | TX |
NPI | 1154530830 |
---|---|
Provider Name | Dr. Bradford Richard Hirsch |
First Address | Dallas, TX 75391-1230 |
Second Address | Dallas, TX 75230-6899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 12/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
338507201 | (05) | TX |
BP1-0026142 | INSTITUTIONAL PERMIT (01) | |
P01701272 | RAILROAD (01) | TX |