Individual
VIVIENNE ELAINE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1234 WAGNER ST, HOUSTON, TX 77007-3719
(713) 868-3301
(713) 868-4817
Mailing address
1234 WAGNER ST, HOUSTON, TX 77007-3719
(713) 868-3301
(713) 868-4817
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F8030
TX
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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