Individual
BRADLEY GARTH FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4204 AUSTIN AVE, BROWNWOOD, TX 76801-6822
(325) 641-8800
Mailing address
4204 AUSTIN AVE, BROWNWOOD, TX 76801-6822
(325) 641-8800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8609
TX
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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