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1083090062
BRADLEY MADDY
FORT WORTH, TX
NPI
1083090062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA09971)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2015-07-31
Last Update Date
2023-12-06
Business Address
BRADLEY MADDY PA-C
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-3955
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Mailing Address
BRADLEY MADDY PA-C
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483
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