Bryan, Conrad Stephen
Bryan, Conrad Stephen is an sole proprietor health care provider with primary practice located at 2913 N Belt Line Rd , Irving TX 75062-5248. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bryan, Conrad Stephen can be contacted via phone (972) 570-0981.Contact Information
Primary practice address
2913 N Belt Line Rd
Irving TX 75062-5248
Phone: (972) 570-0981
Fax: (972) 570-1959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4065T | Texas |
Profile Details
| NPI number | 1619985264 |
|---|---|
| LBN Legal business name | Bryan, Conrad Stephen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1619985264 | NPPES |
| Texas | Other | 19431 | AVESIS ID |
| Texas | Other | 16406 | AVESIS ID |
| Texas | Other | 43106 | AVESIS ID |
| Texas | Other | 910266 | AVESIS ID |
| Texas | Other | 451585 | AVESIS ID |
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