Doctor Name: | BRADLEY P AXLINE |
NPI Number: | 1538167374 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | J8198 |
Business Practice Address: | 2560 Central Park Ave. #340 Flower Mound, TX - 75028 |
Business Phone Number: | 9725382100 |
Business Fax Number: | 9725392231 |
Mailing Address: | P.o. Box 271125, FLOWER MOUND |
State: | TX |
Postal Code: | 75028 |
Phone Number: | 9725382100 |
Fax Number: | 9725392231 |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | J8198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |