Individual
MICHAEL WILLIAM BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 HALL JOHNSON RD STE 200, GRAPEVINE, TX 76051-8766
(817) 267-2678
(817) 354-0854
Mailing address
2050 HALL JOHNSON RD STE 200, GRAPEVINE, TX 76051-8766
(817) 267-2678
(817) 354-0854
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N1272
TX
208C00000X
Colon & Rectal Surgery Physician
N1272
TX
Other
Enumeration date
02/06/2007
Last updated
07/22/2022
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