Michael Dennis Bryan MD

NPI 1043284128 - Otolaryngology - 207Y00000X

NPI Details
NPI 1043284128
Gender Male
Enumeration Date 02/15/2006
Last Updated 07/09/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
660 W SOUTHLAKE BLVD
SUITE 100
SOUTHLAKE TX, 76092-6003, US
Phone (817) 416-9731
Fax (817) 416-9751
Business Location
660 W SOUTHLAKE BLVD
SUITE 100
SOUTHLAKE TX, 76092-6003, US
Phone (817) 416-9731
Fax (817) 416-9751
Toxanomy
Taxonomy Code 207Y00000X
License State Texas
License Number J1503
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According to our database, Dr. Michael Dennis Bryan MD NPI is 1043284128, taxonomy code is 207Y00000X and license number is J1503, license state is located at Texas. Michael Dennis Bryan MD physically located at 660 W Southlake Blvd, Southlake TX, 76092-6003. NPI Number Michael Dennis Bryan MD has the Individual type.

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1043284128 NPI number is provided on an as is basis without warranty of any kind. 1043284128 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Dennis Bryan MD are for informational purposes only.