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NPI Code Detail

MEDICARE: JASMINE BRYSON DPT

MEDICARE: JASMINE BRYSON DPT
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
1225100000XPhysical Therapist1408312TX

General Provider Information

NPI Number : 1669399317
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE BRYSON DPT
Provider Business Mailing Address
First Line : 4659 STATE HIGHWAY 155
Second Line :
City : LONE STAR
State : TX
Zip : 75668-4939
Country : US
Telephone Number : 903-946-3656
Fax Number :
Provider Business Practice Location Address
First Line : 14651 DALLAS PKWY STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75254-8856
Country : US
Telephone Number : 866-919-3240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2026
Last Update Date : 07/02/2026

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