Bryant, Cassandra M

Bryant, Cassandra M is an individual health care provider with primary practice located at 600 N Park St , Brenham TX 77833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bryant, Cassandra M can be contacted via phone (979) 836-6153.

Contact Information

Primary practice address
600 N Park St Brenham TX 77833
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K6753 Texas

Profile Details

NPI number 1174526263
LBN Legal business name Bryant, Cassandra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174526263 NPPES
Texas Other 10030167 AMERIGROUP
Texas MEDICAID 042819502 AMERIGROUP
Texas Other 101819 AMERIGROUP

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