Provider Demographics
NPI:1679833388
Name:MINOR, DAVID BRADLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRADLEY
Last Name:MINOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5900 ALTAMESA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-5475
Mailing Address - Country:US
Mailing Address - Phone:817-854-9969
Mailing Address - Fax:817-845-9965
Practice Address - Street 1:5900 ALTAMESA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-5475
Practice Address - Country:US
Practice Address - Phone:817-854-9969
Practice Address - Fax:817-845-9965
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2023-12-20
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Provider Licenses
StateLicense IDTaxonomies
TXR8620207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery