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Contact Information

LIESL K BREDESON, MD
7777 FOREST LN STE D-1200
DALLAS, TX75230-2571
 Phone: 214-365-1150
 Fax: 214-363-2477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LIESL K BREDESON · (Female)

NPI # 1093767741
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 03/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K3012
  • TX Medicaid 164525101
Hospital affiliation(s)
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS - (Acute Care)
    8200 WALNUT HILL LANE
    DALLAS, TX 75231
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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