Individual
BRYCE PATRICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-7201
(254) 724-2111
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(903) 520-2512
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
12/04/2020
Last updated
03/19/2024
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