Individual
BRIAN B VILAYVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5473 BLAIR RD STE 100, DALLAS, TX 75231-4227
(469) 804-7410
(469) 808-0954
Mailing address
PO BOX 210004, DALLAS, TX 75211-0004
(469) 804-7410
(469) 808-0954
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
731237
TX
163W00000X
Registered Nurse
Primary
927885
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2021
Last updated
11/24/2025
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