Organization
BRYAN W HAMBRIC MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN WELLS HAMBRIC M.D. (PRESIDENT/OWNER OF PA)
(830) 379-4500
Entity
Organization
Contact information
Practice address
1346 E WALNUT ST, SEGUIN, TX 78155-5126
(830) 379-4500
(830) 379-4501
Mailing address
1346 E WALNUT ST, SEGUIN, TX 78155-5126
(830) 379-4500
(830) 379-4501
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016WA
BCBS GROUP ID NUMBERS
TX
01
—
8CQ121
BCBS INDIVIDUAL ID NUMBER
TX
Enumeration date
10/19/2010
Last updated
03/07/2011
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