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Individual

ROBERT NICK BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1701 TRINITY STREET, DELL MEDICAL SCHOOL, AUSTIN, TX 78712-1845
(512) 495-5063
Mailing address
1701 TRINITY STREET, DELL MEDICAL SCHOOL, AUSTIN, TX 78712-1845
(512) 495-5063

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD068981
PA
2085N0700X
Neuroradiology Physician
MD068981L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
D5925
TX
2085R0202X
Diagnostic Radiology Physician
MD068981L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016330360004
PA
Enumeration date
06/29/2006
Last updated
04/14/2017
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