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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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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