Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 13993 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 13993 | TX |
NPI | 1265906382 |
---|---|
Provider Name | Mrs. Kathryn Muehlstein Bryan |
First Address | Little Elm, TX 75068-4828 |
Second Address | Little Elm, TX 75068-4828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2019 |
Last Update Date | 11/01/2019 |