Individual provider · Type 1 NPI

Michael Timothy Broderick

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

NPI number 1437736147 Active

Practice location

2401 S 31st St # Ms 01E443
Temple, TX 76508-0001

Call (254) 724-0630 Map

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 1437736147

Michael Timothy Broderick's National Provider Identifier is 1437736147, issued on Mar 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Temple, TX. The record was last updated on Mar 31, 2021.