Individual
BRYAN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
(903) 877-5080
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7200
(903) 877-5080
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R0882
TX
207Q00000X
Family Medicine Physician
BP10053884
TX
207Q00000X
Family Medicine Physician
R0882
TX
Other
Enumeration date
06/08/2015
Last updated
12/20/2023
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