Individual
EMILY BRADBURY MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 8TH AVE STE 445, FORT WORTH, TX 76104-4144
(817) 923-0022
(817) 921-2801
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 284-1973
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N7779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301941601
—
TX
01
—
P01407925
RAILROAD MEDICARE
TX
Enumeration date
05/31/2008
Last updated
02/19/2015
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