MEDICARE: DR. LOUISE MICHELLE BRYCE DO

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	2083A0100X	Aerospace Medicine Physician	DO 370	AL
2	2083P0901X	Public Health & General Preventive Medicine Physician	DO 370	AL

General Provider Information

NPI Number	:	1649203696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUISE MICHELLE BRYCE DO

Provider Business Mailing Address
First Line	:	8262 HAWKS RD
Second Line	:	BLDG 1184
City	:	BROOKS CITY-BASE
State	:	TX
Zip	:	78235-5147
Country	:	US
Telephone Number	:	210-526-4007
Fax Number	:	210-536-1899

Provider Business Practice Location Address
First Line	:	8050 LINDBERGH LNDG
Second Line	:
City	:	BROOKS CITY-BASE
State	:	TX
Zip	:	78235-5334
Country	:	US
Telephone Number	:	210-536-2859
Fax Number	:

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

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	09/11/2025

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