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Organization
THE BRADLEY CLINIC OF TEXAS, PLLC
Active
Organization
THE BRADLEY CLINIC OF TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE J BRADLEY D.O. (PRESIDENT)
(903) 630-7691
Entity
Organization
Contact information
Practice address
1402 RICE RD, SUITE 100, TYLER, TX 75703-3260
(903) 630-7691
Mailing address
1402 RICE RD STE 100, TYLER, TX 75703-3230
(903) 630-7691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1276
TX
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365965801
—
TX
Enumeration date
12/07/2015
Last updated
04/14/2026
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