Individual provider · Type 1 NPI

Amanda Nichole Braddock, MD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1073364923 Active

Practice location

1936 Medical District Dr
Dallas, TX 75235-7702

Call (214) 456-5518 Map

Mailing address

1406 Lofty Maple Trl
Kingwood, TX 77345-1931

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073364923

Amanda Nichole Braddock, MD's National Provider Identifier is 1073364923, issued on Mar 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Mar 28, 2024.