Individual
BRYAN P MEYENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1450 METZGER ST BLDG 10416, LACKLAND AFB, TX 78236-5423
(210) 671-7744
Mailing address
25554 RIVER RNCH, SAN ANTONIO, TX 78255-9548
(210) 884-0637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2053
TX
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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