Individual
BRADLEY MARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(940) 782-9415
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(940) 782-9415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP141243
TX
Other
Enumeration date
10/08/2018
Last updated
04/06/2023
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