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Individual

THOMAS BRADLEY BENEDICT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 MEDICAL CENTRE DR STE C, ARLINGTON, TX 76012-4700
(817) 277-2202
(817) 548-9709
Mailing address
901 MEDICAL CENTRE DR STE C, ARLINGTON, TX 76012-4700
(817) 277-2202
(817) 548-9709

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E0809
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033845101
TX
Enumeration date
07/06/2006
Last updated
03/26/2008
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