Organization
BRYAN H. MINTON, MD, PA
Active
Parent organization
HEALTH TEXAS PROVIDER NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH TEXAS PROVIDER NETWORK
Authorized official
SUZAN BURTON (OFFICE MGR.)
(972) 221-3924
Entity
Organization
Contact information
Practice address
1422 W MAIN ST, SUITE 100A, LEWISVILLE, TX 75067-3387
(972) 221-3924
Mailing address
PO BOX 844128, DALLAS, TX 75284
(972) 860-8648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009QP
BCBSTX
TX
05
—
152189002
—
TX
01
—
470855656
TAX INDENTIFIER NUMBER
TX
01
—
DC1194
RAILROAD MEDICARE, GROUP
—
Enumeration date
08/08/2007
Last updated
04/01/2011
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