Individual provider · NPI-1

Dr. Conrad Stephen Bryan, O.D.

Optometrist · Irving, TX

NPI number1619985264
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1619985264
Entity type
Individual (NPI-1)
Name
Dr. Conrad Stephen Bryan
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4065TTXYes

Practice location

2913 N Belt Line Rd
Irving, TX 75062-5248

Phone 972-570-0981 · Fax 972-570-1959

Mailing address

1000 Brushwood Dr
Irving, TX 75063-4459

Phone 972-401-1546

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