Individual
BRYAN BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10411 WEST AVE, SAN ANTONIO, TX 78213-1571
(210) 979-6575
Mailing address
20710 HUEBNER RD APT 1134, SAN ANTONIO, TX 78258-2534
(903) 747-0096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72177
TX
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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