Individual
DR. BRYAN THOMAS PRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
M6347
TX
2085R0202X
Diagnostic Radiology Physician
Primary
M6347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2184426-01
—
TX
Enumeration date
05/01/2009
Last updated
04/12/2023
Update your record
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