Individual
DR. CASSANDRA M BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K6753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042819502
—
TX
01
—
10030167
AMERIGROUP
TX
01
—
101819
SUPERIOR CHIPS
TX
Enumeration date
05/23/2005
Last updated
12/14/2021
Update your record
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