Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 21978 | TX |
N | 1223P0700X | Prosthodontist | 4565 | KY |
NPI | 1003871005 |
---|---|
Provider Name | Dr. Arthur William Bryant |
First Address | El Paso, TX 79906-3803 |
Second Address | El Paso, TX 79906-3811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 08/07/2007 |