Dr. Waldo P Bracy JR.
Gastroenterologist
1001 N Waldrop Dr Ste. 509
Arlington
, Texas 76012-4705
Dr. Waldo P Bracy JR.
Gastroenterologist
1001 N Waldrop Dr Ste. 509
Arlington
, Texas 76012-4705
(214) 231-2159
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Waldo P Bracy JR.
- Po Box 35629
- Dallas, TX
- Zip : 75235-0629
- Fax : (214) 231-2159
- Phone : (214) 424-2213
Second Address
- Dr. Waldo P Bracy JR.
- 1001 N Waldrop Dr Ste. 509
- Arlington, TX
- Zip : 76012-4705
- Fax : (817) 394-0200
- Phone : (817) 394-4300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | H7700 | TX |
National Provider Identifier
| NPI | 1003807744 |
|---|---|
| Provider Name | Dr. Waldo P Bracy JR. |
| First Address | Dallas, TX 75235-0629 |
| Second Address | Arlington, TX 76012-4705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 16/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 081585402 | (05) | TX |
| 131696008 | (05) | TX |
| 8F7166 | BCBS (01) | TX |
| D87061 | (02) | |
| H7700 | MEDICAL LICENSE (01) | TX |
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.