Organization
ACTIVE HEALTHCARE AND PHYSICAL MEDICINE LLC
Active
Organization
ACTIVE HEALTHCARE AND PHYSICAL MEDICINE LLC
Active
Other names
Active Healthcare and Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRADLEY MD (OWNER)
(817) 282-7600
Entity
Organization
Contact information
Practice address
1228 PRECINCT LINE RD STE B, HURST, TX 76053-4290
(817) 282-7600
(817) 282-7604
Mailing address
1228 PRECINCT LINE RD STE B, HURST, TX 76053-4290
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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