LARRY EDWIN BRADLEY

FORT WORTH, TX
NPI1962711036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: TX  H6067)
Enumeration Date2010-10-06
Last Update Date2010-10-06
Business Address
Dr. LARRY EDWIN BRADLEY D.O.
7016 RIVERPORT RD
FORT WORTH, TX 76116-9311
Phone number: 817-738-4288
Mailing Address
Dr. LARRY EDWIN BRADLEY D.O.
7016 RIVERPORT RD
FORT WORTH, TX 76116-9311
Phone number: 817-738-4288
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