Organization
T BRADLEY BENEDICT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BRADLEY BENEDICT MD (OWNER)
(817) 277-2202
Entity
Organization
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
174400000X
Specialist
Primary
E0809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033845101
—
TX
Enumeration date
06/13/2008
Last updated
01/15/2015
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