Individual
MRS. ELIZABETH ANN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1031 SAN PEDRO AVE., SAN ANTONIO, TX 78212
(210) 363-5155
Mailing address
233 CIMARRON DR, FLORESVILLE, TX 78114-4501
(219) 363-5155
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
208512
TX
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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