Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | K1403 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | K1403 | TX |
NPI | 1184684086 |
---|---|
Provider Name | Lawson Ashley Bragg Copley |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 24/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
148165702 | (05) | TX |
H44650 | (02) |