Individual
BRADLEY MADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-3955
(682) 885-7934
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09971
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/31/2015
Last updated
12/06/2023
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