Individual
BRONSON WALLACE BRYLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3915 BURNET RD, #103, AUSTIN, TX 78728
(512) 710-6516
Mailing address
129 MAPLEWOOD N, KYLE, TX 78640-5276
(210) 827-2577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119497
TX
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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