Individual
DR. CHARLES EDWARD BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3327 RESEARCH PLZ STE 404, SAN ANTONIO, TX 78235-5159
(210) 804-5400
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 288-8197
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101251422
VA
207L00000X
Anesthesiology Physician
R0843
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101251422
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
R0843
TX
208VP0014X
Interventional Pain Medicine Physician
R0843
TX
Other
Enumeration date
06/28/2010
Last updated
04/01/2020
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