Bryson, Celestina Dorothea

Bryson, Celestina Dorothea is an individual health care provider with primary practice located at 17711 San Felipe Bay , San Antonio TX 78255-3340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bryson, Celestina Dorothea can be contacted via phone (501) 765-5866.

Contact Information

Primary practice address
17711 San Felipe Bay San Antonio TX 78255-3340
Phone: (501) 765-5866
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 665386 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 665386 Texas

Profile Details

NPI number 1558434340
LBN Legal business name Bryson, Celestina Dorothea
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Feb 12th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558434340 NPPES
Other 71604624206 QUALCHOICE
MEDICAID 155388501 QUALCHOICE
Other 5A150 QUALCHOICE

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