Individual
BRYAN MICHAEL COONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16620 SAN PEDRO AVE STE 300, SAN ANTONIO, TX 78232-2679
(210) 309-1407
Mailing address
16620 SAN PEDRO AVE STE 300, SAN ANTONIO, TX 78232-2679
(210) 309-1407
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1007008
TX
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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