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NPI Code Detail

MEDICARE: BRYANT FAMILY PRACTICE PLLC

MEDICARE: BRYANT FAMILY PRACTICE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346073574
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRYANT FAMILY PRACTICE PLLC
Provider Business Mailing Address
First Line : 1000 GARLAND JOHNSTON DR
Second Line :
City : VERNON
State : TX
Zip : 76384-4097
Country : US
Telephone Number : 940-553-7092
Fax Number : 940-553-7095
Provider Business Practice Location Address
First Line : 1000 GARLAND JOHNSTON DR
Second Line :
City : VERNON
State : TX
Zip : 76384-4097
Country : US
Telephone Number : 940-553-7092
Fax Number : 940-553-7095
Authorized Official
Title or Position : OWNER
Name : VERONIKA JO BRYANT
Credential : APRN, FNP-C
Telephone Number : 940-553-7092
Provider Enumeration Date : 08/22/2024
Last Update Date : 02/28/2026

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Directions to “BRYANT FAMILY PRACTICE PLLC ” Practice Location

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