Provider Demographics
NPI:1649917824
Name:BRONSON-RODRIGUEZ, BRITTON (DC)
Entity type:Individual
Prefix:DR
First Name:BRITTON
Middle Name:
Last Name:BRONSON-RODRIGUEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9008 WHEATFIELD TRL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-8154
Mailing Address - Country:US
Mailing Address - Phone:817-991-3523
Mailing Address - Fax:
Practice Address - Street 1:1653 SOUTHEAST PKWY
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-4027
Practice Address - Country:US
Practice Address - Phone:817-991-3523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor