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NPI Code Detail

MEDICARE: DR. NICHOLAS JAMES BRYANT M.D.

MEDICARE: DR. NICHOLAS JAMES BRYANT M.D.
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
12084P0800XPsychiatry PhysicianP6591TX

General Provider Information

NPI Number : 1437448586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS JAMES BRYANT M.D.
Provider Business Mailing Address
First Line : 550 WESTCOTT ST STE 520
Second Line :
City : HOUSTON
State : TX
Zip : 77007-9001
Country : US
Telephone Number : 713-864-6694
Fax Number :
Provider Business Practice Location Address
First Line : 550 WESTCOTT ST STE 520
Second Line :
City : HOUSTON
State : TX
Zip : 77007-9001
Country : US
Telephone Number : 713-864-6694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2011
Last Update Date : 12/23/2015

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