BRIDLEWOOD FAMILY HEALTHCARE P.A. NPI 1821218652

NPI Information

NPI: 1821218652
Provider Name: BRIDLEWOOD FAMILY HEALTHCARE, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D1021335

Address:
3400 LONG PRAIRIE ROAD
SUITE 200
FLOWER MOUND, TX
ZIP 75022
Phone: (972) 899-6300
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BRIDLEWOOD FAMILY HEALTHCARE, P.A. is a primary care clinic center in Flower Mound, TX. BRIDLEWOOD FAMILY HEALTHCARE, P.A. NPI is 1821218652. The provider is registered as an organization entity type.

The provider's business location address is:

3400 LONG PRAIRIE ROAD
SUITE 200
FLOWER MOUND, TX
ZIP 75022-706
Phone: (972) 899-6300
Fax: (972) 899-6020

The provider's authorized official is Brian D Glaser .
The authorized official title is Owner and has the following contact phone number (972) 899-6300.

The CLIA number assigned to this NPI record is 45D1021335 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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