MEDICARE: COURTNEY BRYANT

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
1	310400000X	Assisted Living Facility
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1497543953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY BRYANT

Provider Business Mailing Address
First Line	:	3997 FM 1836
Second Line	:
City	:	KAUFMAN
State	:	TX
Zip	:	75142-8810
Country	:	US
Telephone Number	:	469-297-8180
Fax Number	:	469-297-7280

Provider Business Practice Location Address
First Line	:	3997 FM 1836
Second Line	:
City	:	KAUFMAN
State	:	TX
Zip	:	75142-8810
Country	:	US
Telephone Number	:	469-297-8180
Fax Number	:	469-297-7280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2025
Last Update Date	:	04/27/2025

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Directions to “ COURTNEY BRYANT ” Practice Location

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