Individual
BRYAN TIMOTHY PERNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-S
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
2016017066
MO
367H00000X
Anesthesiologist Assistant
Primary
4014
TX
367H00000X
Anesthesiologist Assistant
AA338
FL
Other
Enumeration date
03/31/2016
Last updated
03/17/2018
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