Provider Demographics
NPI:1558368647
Name:BRADY, WESLEY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:ANNE
Last Name:BRADY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9101 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 550
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5927
Mailing Address - Country:US
Mailing Address - Phone:214-442-0055
Mailing Address - Fax:214-442-0056
Practice Address - Street 1:9101 N CENTRAL EXPY
Practice Address - Street 2:SUITE 550
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5927
Practice Address - Country:US
Practice Address - Phone:214-442-0055
Practice Address - Fax:214-442-0056
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK8880207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology