Provider Demographics
NPI:1700145125
Name:BRADLEY, ARTHUR BOYD JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:BOYD
Last Name:BRADLEY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2021 JUSTIN RD
Mailing Address - Street 2:SUITE 132
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3800
Mailing Address - Country:US
Mailing Address - Phone:972-539-2446
Mailing Address - Fax:972-539-2066
Practice Address - Street 1:2021 JUSTIN RD
Practice Address - Street 2:SUITE 132
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3800
Practice Address - Country:US
Practice Address - Phone:972-539-2446
Practice Address - Fax:972-539-2066
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11059111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor