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Individual

MR. JOHNNY BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REVERAND

Contact information

Practice address
9797 MEADOWGLEN LN, HOUSTON, TX 77042-4626
(832) 417-1703
Mailing address
PO BOX 740803, HOUSTON, TX 77274-0803
(832) 417-1703

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
172A00000X
TX

Other

Enumeration date
01/26/2010
Last updated
01/26/2010
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