Bryant, Mavis Anne
Bryant, Mavis Anne is an sole proprietor health care provider with primary practice located at 1800 Teague Drive Suite 502, Sherman TX 75090-2656. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bryant, Mavis Anne can be contacted via phone (903) 892-4466.Contact Information
Primary practice address
1800 Teague Drive Suite 502
Sherman TX 75090-2656
Phone: (903) 892-4466
Fax: (903) 892-2634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 25035 | Texas |
Profile Details
| NPI number | 1558342063 |
|---|---|
| LBN Legal business name | Bryant, Mavis Anne |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Sep 29th, 2010 - about 15 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 | 1558342063 | NPPES |
| Texas | MEDICAID | 034974801 |
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