Individual provider · Type 1 NPI
Elizabeth Corich Bradshaw, DO
Independent Medical Examiner Physician · Richardson, TX
NPI number
1104159177
Active
Practice location
406 Provincetown Ln
Richardson, TX 75080-3421
Fax (972) 238-1448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Medical Examiner Physician Primary | 202C00000X | F6469 (TX) |
| Family Medicine Physician | 207Q00000X | F6469 (TX) |
Independent Medical Examiner Physician: A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
About NPI 1104159177
Elizabeth Corich Bradshaw, DO's National Provider Identifier is 1104159177, issued on Sep 9, 2009. The primary taxonomy on file is Independent Medical Examiner Physician (202C00000X), and the practice location is in Richardson, TX. The record was last updated on Sep 9, 2009.