THEODORE BRYAN GUPTON

FORT WORTH, TX
NPI1790019347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  Q2900)
Additional Taxonomies2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: TX  Q2900)
Enumeration Date2009-09-30
Last Update Date2024-06-20
Business Address
Dr. THEODORE BRYAN GUPTON M.D.
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0404
Mailing Address
Dr. THEODORE BRYAN GUPTON M.D.
816 W CANNON STREET
FORT WORTH, TX 76104
Phone number: 817-321-0404