Treadaway, Brent Lucas
Treadaway, Brent Lucas is an individual health care provider with primary practice located at 2201 S Clear Creek Rd , Killeen TX 76549-4110. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Treadaway, Brent Lucas can be contacted via phone (254) 526-7523.Contact Information
Primary practice address
2201 S Clear Creek Rd
Killeen TX 76549-4110
Phone: (254) 526-7523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Michigan | |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5101018697 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | Q0583 | Texas |
Profile Details
| NPI number | 1073838488 |
|---|---|
| LBN Legal business name | Treadaway, Brent Lucas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2010 |
| Last updated | Sep 10th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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