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Individual

WILLIAM BRYAN

Active
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Individual

WILLIAM BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E4227
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043247208
TX
05
135711309
TX
01
601771109
US DEPT OF LABOR
01
610197301 CENTERFIEL
US DEPT OF LABOR
TX
01
610197302 FANNIN
US DEPT OF LABOR
TX
01
616771101
US DEPT OF LABOR
01
616771105
US DEPT OF LABOR
01
616771110
US DEPT OF LABOR
01
8S9713
BCBS
TX
01
P01070469
RR MEDICARE
TX
01
P01253341
MEDICARE RR
TX
Enumeration date
06/26/2006
Last updated
05/22/2014
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