Individual
BRADY DYLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2508 BROADWAY, SAN ANTONIO, TX 78209-5712
(210) 247-9374
Mailing address
2601 SINGING WIND DR APT 613, KERRVILLE, TX 78028-5586
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81353
TX
231H00000X
Audiologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
81353
TX
Other
Enumeration date
04/20/2022
Last updated
08/02/2022
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