Individual
BRADLEY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3625 WESTERN CENTER BLVD, FT WORTH, TX 76137-1936
(817) 498-7333
Mailing address
3625 WESTERN CENTER BLVD, FT WORTH, TX 76137-1936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14152
TX
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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