Individual
BRYAN MATTHEW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
6965 FALCONER WAY, FORT WORTH, TX 76179-6724
(405) 519-3285
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1177195
TX
Other
Enumeration date
08/30/2024
Last updated
10/25/2024
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