Massenburg, Bryan Edward

Massenburg, Bryan Edward is an individual health care provider with primary practice located at 3126 W Fm 120 , Denison TX 75020-1249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Massenburg, Bryan Edward can be contacted via phone (903) 416-7544.

Contact Information

Primary practice address
3126 W Fm 120 Denison TX 75020-1249
Phone: (903) 416-7544
Fax: (903) 416-7545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L0862 Texas

Profile Details

NPI number 1639169436
LBN Legal business name Massenburg, Bryan Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jan 26th, 2018 - about 6 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 1639169436 NPPES
Texas MEDICAID 102612204

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