Individual
DR. BRADLEY VAL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
403 S 5TH ST, CROCKETT, TX 75835-2128
(936) 545-9355
Mailing address
403 S 5TH ST, CROCKETT, TX 75835-2128
(936) 545-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5004
TX
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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