Individual
BRYAN EVERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S6833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411725101
—
TX
01
—
411725102
CSHCN
TX
Enumeration date
04/02/2017
Last updated
07/21/2020
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