Richard Colwin Bryarly Jr, MD | |
12221 N Mo Pac Expy, Austin, TX 78758-2401 | |
(512) 901-4006 | |
(512) 901-3906 |
Full Name | Richard Colwin Bryarly Jr |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 12221 N Mo Pac Expy, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588759443 | NPI | - | NPPES |
P00729025 | Other | TX | RRMCR |
110346702 | Medicaid | TX | |
110346704 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | E4228 (Texas) | Primary |
Entity Name | The Austin Diagnostic Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003259763 PECOS PAC ID: 1254244551 Enrollment ID: O20031112000236 |
Mailing Address | Practice Location Address |
---|---|
Richard Colwin Bryarly Jr, MD 12221 N Mo Pac Expy, Austin, TX 78758-2401 Ph: (512) 901-4006 | Richard Colwin Bryarly Jr, MD 12221 N Mo Pac Expy, Austin, TX 78758-2401 Ph: (512) 901-4006 |
Dr. Kevin Lynn Robinson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1909 Alexander Ave Unit 2502, Austin, TX 78722 Phone: 863-284-5906 Fax: 512-503-8337 | |
Robert A. Williamson Jr., M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6811 Austin Center Blvd, Suite 300, Austin, TX 78731 Phone: 512-346-8888 Fax: 512-406-7321 | |
Dr. Joel William Jones, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9835 N Lake Creek Pkwy, Austin, TX 78717 Phone: 832-822-0629 | |
Dr. Tibor Ruff, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 40 N Interstate 35 Apt 9d1, Austin, TX 78701 Phone: 512-947-4612 | |
James R Eskew, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4315 James Casey St, Suite 300, Austin, TX 78745 Phone: 512-444-7944 Fax: 512-444-7946 | |
Kent P Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731 Phone: 512-346-8888 Fax: 512-344-0340 | |
David Crockett Teller, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 7901 Metropolis Dr, Austin, TX 78744 Phone: 512-823-4880 Fax: 512-823-4155 |