Individual
TORY BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
13710 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3267
(804) 594-7300
Mailing address
436 MICHAUX BRANCH TERRANCE, MIDLOTHIAN, VA 23113
(757) 645-5929
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000225
VA
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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