Organization
LAURA A BRADFORD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ANN BRADFORD M.D. (OWNER)
(817) 926-4118
Entity
Organization
Contact information
Practice address
1425 8TH AVE, FORT WORTH, TX 76104-4151
(817) 926-4118
(817) 926-4362
Mailing address
1425 8TH AVE, FORT WORTH, TX 76104-4151
(817) 926-4118
(817) 926-4362
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J4000
TX
Other
Enumeration date
11/09/2010
Last updated
12/28/2010
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