Organization
BRYAN L TOWNSEND MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN L TOWNSEND MD (OWNER)
(512) 459-1269
Entity
Organization
Contact information
Practice address
8044 SHOAL CREEK BLVD, AUSTIN, TX 78757-8039
(512) 459-1269
(512) 459-1404
Mailing address
8044 SHOAL CREEK BLVD, AUSTIN, TX 78757-8039
(512) 459-1269
(512) 459-1404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
J4566
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
J4566
TX
Other
Enumeration date
02/14/2011
Last updated
04/20/2011
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