Bryson, Randy Wayne
Bryson, Randy Wayne is an sole proprietor health care provider with primary practice located at 3500 Hillcrest Dr Ste 1 , Waco TX 76708-3144. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bryson, Randy Wayne can be contacted via phone (254) 741-6641.Contact Information
Primary practice address
3500 Hillcrest Dr Ste 1
Waco TX 76708-3144
Phone: (254) 741-6641
Fax: (254) 537-4693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 790930 | Texas |
Profile Details
| NPI number | 1861540254 |
|---|---|
| LBN Legal business name | Bryson, Randy Wayne |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861540254 | NPPES |
| Texas | MEDICAID | 390244701 |
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