Individual
BRYAN THOMAS JOSEPH HENNESSY
Active
Individual
BRYAN THOMAS JOSEPH HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
41485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182794101
—
TX
01
—
P00385878
RAILROAD MEDICARE PART B, GROUP CS9277
TX
Enumeration date
08/12/2006
Last updated
07/17/2008
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