Individual
BRUCE DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.P.
Contact information
Practice address
100 W ROSEDALE ST, FORT WORTH, TX 76104-4852
(817) 338-4848
Mailing address
100 W ROSEDALE ST, FORT WORTH, TX 76104-4852
(817) 338-4848
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
ATP 44299
TX
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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