Individual
MR. BRYAN RICHARD BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.N.
Contact information
Practice address
5100 STATE HIGHWAY 121, SUITE A, COLLEYVILLE, TX 76034-5934
(817) 399-9100
(817) 399-9909
Mailing address
5100 STATE HIGHWAY 121, SUITE A, COLLEYVILLE, TX 76034-5934
(817) 399-9100
(817) 399-9909
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
001146
CO
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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