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Bradford Bennett JR., MD
Diagnostic Radiology Physician in Fort Worth, Texas
NPI 1609308105

Bradford Bennett JR. is a Diagnostic Radiology Physician based in Fort Worth, TX and is specialized in Diagnostic Radiology. Bradford Bennett JR. practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Bradford Bennett JR. is 1609308105 and holds a License No. (Texas).

The current practice location address for Bradford Bennett JR. is 815 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-321-0404.

Location: 815 Pennsylvania Ave, Fort Worth, TX, 76104-3146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609308105
Provider Name
Bradford Bennett JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 Pennsylvania Ave, Fort Worth, TX, 76104-3146
Phone Number
817-321-0404
Fax Number
Provider Enumeration Date
04/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
815 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2224
Phone Number
817-321-0404
Fax Number
person
Provider Business Mailing Address Details
Address
815 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2224
Phone Number
817-321-0404
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
T9639 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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