Wilson, David Bradford

Wilson, David Bradford is an sole proprietor health care provider with primary practice located at 5016 River Bluff Dr , Fort Worth TX 76132-3710. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Wilson, David Bradford can be contacted via phone (817) 800-8386.

Contact Information

Primary practice address
5016 River Bluff Dr Fort Worth TX 76132-3710
Phone: (817) 800-8386
Fax: (817) 295-4992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X SA0007 Texas

Profile Details

NPI number 1275546343
LBN Legal business name Wilson, David Bradford
Credentials LSA, CST/CFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275546343 NPPES
Texas Other 8N4608 BCBS OF TX

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