Provider Demographics
NPI:1932439270
Name:BRADSHAW, JOE DALE (RT,RVT,RDMS)
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:DALE
Last Name:BRADSHAW
Suffix:
Gender:M
Credentials:RT,RVT,RDMS
Other - Prefix:
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Mailing Address - Street 1:2404 YONKERS ST STE 4
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-1820
Mailing Address - Country:US
Mailing Address - Phone:806-293-2735
Mailing Address - Fax:806-293-4231
Practice Address - Street 1:2404 YONKERS ST STE 4
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-1820
Practice Address - Country:US
Practice Address - Phone:806-293-2735
Practice Address - Fax:806-293-4231
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2020-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX52212471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography