Individual
DR. BRADY PUTNAM SIMONAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7510 N BEACH ST, FORT WORTH, TX 76137-1505
(817) 498-1818
Mailing address
7510 N BEACH ST, FORT WORTH, TX 76137-1505
(817) 498-1818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
583833
TX
Other
Enumeration date
04/19/2014
Last updated
07/21/2022
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