KENT PHILIP BRANTLY

FORT WORTH, TX
NPI1063745768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  P0816)
Enumeration Date2009-09-12
Last Update Date2015-07-07
Business Address
Dr. KENT PHILIP BRANTLY M.D.
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-2396
Mailing Address
Dr. KENT PHILIP BRANTLY M.D.
1617 HEMPHILL ST
FORT WORTH, TX 76104-4709
Phone number: 817-702-2396
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