Individual
DR. BRYAN LEE WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2560 CENTRAL PARK AVE STE 140, FLOWER MOUND, TX 75028-1566
(972) 410-3803
Mailing address
2560 CENTRAL PARK AVE STE 140, FLOWER MOUND, TX 75028-1566
(972) 410-3803
(972) 556-2328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H4780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121035302
—
TX
01
—
83Y172
BCBS
TX
Enumeration date
07/10/2006
Last updated
10/26/2022
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