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Individual
WILLIAM L BRYANT
Active
Individual
WILLIAM L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2422TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093246902
—
TX
05
—
093246904
—
TX
01
—
410017521
RAIL ROAD MEDICARE
TX
01
—
80627Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/26/2006
Last updated
06/22/2015
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