MEDICARE: MARGARET GARCIA BRYANT PT

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	225100000X	Physical Therapist	1147621	TX

General Provider Information

NPI Number	:	1801487012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET GARCIA BRYANT PT

Provider Business Mailing Address
First Line	:	5201 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7793
Country	:	US
Telephone Number	:	214-590-2934
Fax Number	:

Provider Business Practice Location Address
First Line	:	5335 MERCEDES AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5817
Country	:	US
Telephone Number	:	214-923-8390
Fax Number	:

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

Provider Enumeration Date	:	01/30/2021
Last Update Date	:	01/30/2021

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