Individual
BRANDON G BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
703 E MARSHALL AVE STE 5008, LONGVIEW, TX 75601-5557
(903) 315-4880
(903) 315-2833
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP137085
TX
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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