Bradley, Larry Edwin
Bradley, Larry Edwin is an sole proprietor health care provider with primary practice located at 7016 Riverport Rd , Fort Worth TX 76116-9311. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bradley, Larry Edwin can be contacted via phone (817) 738-4288.Contact Information
Primary practice address
7016 Riverport Rd
Fort Worth TX 76116-9311
Phone: (817) 738-4288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | H6067 | Texas |
Profile Details
| NPI number | 1962711036 |
|---|---|
| LBN Legal business name | Bradley, Larry Edwin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2010 |
| Last updated | Oct 6th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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