person
Dr. Larry Edwin Bradley, DO
General Practice Physician in Fort Worth, Texas
NPI 1962711036

Larry Edwin Bradley is a General Practice Physician based in Fort Worth, TX. Larry Edwin Bradley practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Larry Edwin Bradley is 1962711036 and holds a License No. H6067 (Texas).

The current practice location address for Larry Edwin Bradley is 7016 Riverport Rd, Fort Worth, TX and can be reached out via phone at 817-738-4288. You can also correspond with Larry Edwin Bradley through the mailing address at 7016 RIVERPORT RD, FORT WORTH, TX - 76116-9311 (mailing address contact number: 817-738-4288).

Location: 7016 Riverport Rd, Fort Worth, TX, 76116-9311
person
Provider Profile Details
NPI Number
1962711036
Provider Name
Larry Edwin Bradley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7016 Riverport Rd, Fort Worth, TX, 76116-9311
Phone Number
817-738-4288
Fax Number
Provider Enumeration Date
10/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7016 Riverport Rd
City
State
Zip
76116-9311
Phone Number
817-738-4288
Fax Number
person
Provider Business Mailing Address Details
Address
7016 Riverport Rd
City
State
Zip
76116-9311
Phone Number
817-738-4288
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
H6067 (Texas)
Definition
Definition to come...
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