Organization
BRADFORD CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK HENRY BRADFORD D.C. (OWNER)
(817) 704-3243
Entity
Organization
Contact information
Practice address
1219 E DEBBIE LN, SUITE 103, MANSFIELD, TX 76063-3330
(817) 704-3243
Mailing address
1219 E DEBBIE LN, SUITE 103, MANSFIELD, TX 76063-3330
(817) 704-3243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11136
TX
Other
Enumeration date
03/05/2009
Last updated
02/02/2010
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