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Individual

RICHARD COLWIN BRYARLY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12221 N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4006
(512) 901-3906
Mailing address
12221 N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4006
(512) 901-3906

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E4228
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110346702
TX
05
110346704
TX
01
P00729025
RRMCR
TX
Enumeration date
10/04/2006
Last updated
11/12/2010
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