Individual
CELESTINA DOROTHEA BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
17711 SAN FELIPE BAY, SAN ANTONIO, TX 78255-3340
(501) 765-5866
Mailing address
17711 SAN FELIPE BAY, SAN ANTONIO, TX 78255-3340
(501) 765-5866
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
665386
TX
364SA2100X
Acute Care Clinical Nurse Specialist
665386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155388501
—
TX
01
—
5A150
BCBS
—
01
—
71604624206
QUALCHOICE
—
Enumeration date
11/17/2006
Last updated
02/12/2016
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