Individual
DR. CHARLES MARSHALL BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
2941 OAK PARK CIR STE 200, FORT WORTH, TX 76109-1852
(817) 332-7433
(817) 394-6282
Mailing address
601 OMEGA DR, SUITE 206, ARLINGTON, TX 76014-2075
(817) 465-5881
(817) 465-6336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D2367
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
D2367
TX
Other
Enumeration date
06/08/2006
Last updated
03/31/2021
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