Individual
MARY ANNE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 VETERANS BOULEVARD, WEST TEXAS VA HEALTH CARE SYSTEM, BIG SPRING, TX 79720
(432) 263-7361
(432) 268-5044
Mailing address
300 VETERANS BOULEVARD, WEST TEXAS VA HEALTH CARE SYSTEM, BIG SPRING, TX 79720
(432) 263-7361
(432) 268-5044
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K9026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09705294
—
MS
05
—
1556912
—
LA
Enumeration date
02/23/2006
Last updated
09/04/2012
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