O'Neall, Bryan T

O'Neall, Bryan T is an individual health care provider with primary practice located at 4515 Marsha Sharp Fwy , Lubbock TX 79407-2520. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. O'Neall, Bryan T can be contacted via phone (806) 744-7223.

Contact Information

Primary practice address
4515 Marsha Sharp Fwy Lubbock TX 79407-2520
Phone: (806) 744-7223
Fax: (806) 740-3325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TX PA 02717 Texas

Profile Details

NPI number 1346223401
LBN Legal business name O'Neall, Bryan T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 9th, 2019 - about 7 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 1346223401 NPPES
Texas Other 7271774 AETNA - GRACE CLINIC
Texas Other 8AM633 AETNA - GRACE CLINIC
Texas Other 8L3991 AETNA - GRACE CLINIC
Texas Other 161309100 AETNA - GRACE CLINIC
Texas Other 5892790001 AETNA - GRACE CLINIC
Texas Other 161309100 AETNA - GRACE CLINIC
Texas MEDICAID 1975187-01 AETNA - GRACE CLINIC

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