Massenburg, Bryan Edward
Massenburg, Bryan Edward is an individual health care provider with primary practice located at 3126 W Fm 120 , Denison TX 75020-1249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Massenburg, Bryan Edward can be contacted via phone (903) 416-7544.Contact Information
Primary practice address
3126 W Fm 120
Denison TX 75020-1249
Phone: (903) 416-7544
Fax: (903) 416-7545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L0862 | Texas |
Profile Details
| NPI number | 1639169436 |
|---|---|
| LBN Legal business name | Massenburg, Bryan Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jan 26th, 2018 - about 8 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 | 1639169436 | NPPES |
| Texas | MEDICAID | 102612204 |
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