Individual
SHELBY ELIZABETH BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN, TS-C, FA
Contact information
Practice address
208 GASLIGHT BLVD, LUFKIN, TX 75904-3166
(936) 630-8822
(936) 634-8836
Mailing address
664 BILLY CLARK RD, HUNTINGTON, TX 75949-2917
(936) 630-8822
(936) 634-1862
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
TX
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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