Michael D. Bryan, MD

NPI #1811148802 in Southlake, Texas

Provider Information

NPI Number: 1811148802
Entity Type: Organization
Organization Name: Michael D. Bryan, MD
Primary Specialty: Otolaryngology
Enumeration Date: Oct 8, 2008
Last Updated: Oct 8, 2008

Practice Location

Address: 660 W SOUTHLAKE BLVD
Address 2: SUITE 100
City: Southlake
State: Texas
ZIP Code: 76092-6069
Phone: (817) 416-9731

Authorized Official

Name: DR. MICHAEL DENNIS BRYAN, M.D.
Title: OWNER
Phone: (817) 416-9731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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