Individual
DR. CONRAD STEPHEN BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2913 N BELT LINE RD, IRVING, TX 75062-5248
(972) 570-0981
(972) 570-1959
Mailing address
1000 BRUSHWOOD DR, IRVING, TX 75063-4459
(972) 401-1546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4065T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16406
DAVIS VISION ID
TX
01
—
19431
AVESIS ID
TX
01
—
43106
CLARITY VISION ID
TX
01
—
451585
NVA ID
TX
01
—
910266
COLE MANAGED VISION ID
TX
Enumeration date
08/03/2006
Last updated
07/09/2007
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