Individual
BRYAN LEE TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
207NS0135X
Procedural Dermatology Physician
J4566
TX
Other
Enumeration date
12/13/2005
Last updated
08/08/2017
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