Dr. Michael Dennis Bryan
Otolaryngologist (ENT Doctor)
660 W Southlake Blvd Suite 100
Southlake
, Texas 76092-6003
Dr. Michael Dennis Bryan
Otolaryngologist (ENT Doctor)
660 W Southlake Blvd Suite 100
Southlake
, Texas 76092-6003
(817) 416-9751
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Michael Dennis Bryan
- 660 W Southlake Blvd Suite 100
- Southlake, TX
- Zip : 76092-6003
- Fax : (817) 416-9751
- Phone : (817) 416-9731
Second Address
- Dr. Michael Dennis Bryan
- 660 W Southlake Blvd Suite 100
- Southlake, TX
- Zip : 76092-6003
- Fax : (817) 416-9751
- Phone : (817) 416-9731
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | J1503 | TX |
National Provider Identifier
| NPI | 1043284128 |
|---|---|
| Provider Name | Dr. Michael Dennis Bryan |
| First Address | Southlake, TX 76092-6003 |
| Second Address | Southlake, TX 76092-6003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 09/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0052ET | BCBS (01) | TX |
| 113601203 | (05) | TX |
| 5675166 | AETNA (01) | TX |
| G33200 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.