| NPI | 1699140665 |
|---|---|
| Former Legal Business Name | REBECCA J BRADFORD, OD |
| Entity Type | Organization |
| Authorized Contact | REBECCA JO BRADFORD Owner 940-293-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 4228T) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |