Individual
BRYAN AINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7445
(254) 778-4811
Mailing address
1114 IRON GLEN DR, TEMPLE, TX 76502-2161
(254) 383-9235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1170875
TX
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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