Individual
MISS SHELBY B BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCN, RD, LD
Contact information
Practice address
10300 N CENTRAL EXPY STE 325, DALLAS, TX 75231-8657
(972) 821-9557
(972) 525-4731
Mailing address
102 E BROAD ST UNIT 1642, FORNEY, TX 75126-9778
(972) 821-9557
(972) 525-4731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85131
TX
Other
Enumeration date
04/25/2019
Last updated
10/20/2025
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