Bryant, Channing William

Bryant, Channing William is an individual health care provider with primary practice located at 2010 W Katherine P Raines Rd , Cleburne TX 76033. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bryant, Channing William can be contacted via phone (817) 645-0471.

Contact Information

Primary practice address
2010 W Katherine P Raines Rd Cleburne TX 76033
Phone: (817) 645-0471
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 613619 Texas

Profile Details

NPI number 1588675557
LBN Legal business name Bryant, Channing William
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 4th, 2018 - 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 1588675557 NPPES
Texas MEDICAID 173844504
Texas MEDICAID 173844503
Texas Other P00479769
Texas Other 88308U

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