Individual
BRYAN LEE GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2500 S LAKELINE BLVD STE 100, CEDAR PARK, TX 78613
(512) 345-8970
(512) 345-6689
Mailing address
2500 S LAKELINE BLVD STE 100, CEDAR PARK, TX 78613-2968
(512) 345-8970
(512) 345-6689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54951
ID
Other
Enumeration date
03/28/2017
Last updated
12/12/2018
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