Individual
JOHN DAVID BRABNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1711 DOOLITTLE AVE, FORT WORTH, TX 76127-1711
(817) 782-5959
(817) 782-5949
Mailing address
425 CORNSTUBBLE LN, WEATHERFORD, TX 76088-2258
(817) 594-0008
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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