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Individual

MICHAEL BRYWKA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
415 E YANDELL DR, SUITE B, EL PASO, TX 79902-5208
(915) 577-0030
(915) 533-2568
Mailing address
PO BOX 3899, EL PASO, TX 79923-3899
(915) 577-0030
(915) 533-2568

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0065941
MD
207L00000X
Anesthesiology Physician
L8292
TX
207L00000X
Anesthesiology Physician
MD21921
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168837601
TX
01
L0133450
DPS
TX
Enumeration date
08/02/2005
Last updated
09/26/2024
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