Michael Jack Bradley
Michael Jack Bradley is an Optician in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
6551 Harris Pkwy Ste 205Fort Worth, TX 76132-6103
Phone: (817) 370-6118
Fax: (817) 370-7118
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence R0166 (TX) |
|---|
Record details
| NPI number | 1407907348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2007 |
| Last updated in NPPES | January 25, 2008 |
| Mailing address | 6551 Harris Pkwy, Ste 205, Fort Worth, TX 76132-6103 |
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