Organization
MICHAEL D. BRYAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DENNIS BRYAN M.D. (OWNER)
(817) 416-9731
Entity
Organization
Contact information
Practice address
660 W SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6069
(817) 416-9731
(817) 416-9751
Mailing address
660 W SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6069
(817) 416-9731
(817) 416-9751
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J1503
TX
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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