Individual
MR. RUSSELL AARON BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
520 MADISON OAK DR, SAN ANTONIO, TX 78258-3912
(210) 297-4000
Mailing address
25619 WEIGELA, SAN ANTONIO, TX 78261-2821
(210) 885-7704
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
784592
TX
Other
Enumeration date
01/23/2019
Last updated
07/15/2019
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