Provider Demographics
NPI:1710554100
Name:WESLEY BRADLEY DOSHER PLLC
Entity Type:Organization
Organization Name:WESLEY BRADLEY DOSHER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:BRADLEY HUGHES
Authorized Official - Last Name:DOSHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-678-3889
Mailing Address - Street 1:7000 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1709
Mailing Address - Country:US
Mailing Address - Phone:806-350-2663
Mailing Address - Fax:806-350-2664
Practice Address - Street 1:7000 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1709
Practice Address - Country:US
Practice Address - Phone:806-350-2663
Practice Address - Fax:806-350-2664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-05
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty