Dedria Bryan, is a
Occupational Therapist based in Waskom, Texas. Dedria Bryan is licensed to practice in Texas (license number 104205) and her current practice location is
476 Marcelene Dr, Waskom, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 926-4342.
NPI number for Dedria Bryan is 1033390984 and her current mailing address is 476 Marcelene Dr, Waskom, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033390984.
Healthcare Provider's Profile
Full Name | Dedria Bryan |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 476 Marcelene Dr, Waskom, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033390984
- Provider Enumeration Date: 11/20/2007
- Last Update Date: 08/15/2019
Medical Identifiers
Medical identifiers for Dedria Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033390984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 105205 (Texas) | Secondary |
225X00000X | Occupational Therapist | 104205 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dedria Bryan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dedria Bryan, 476 Marcelene Dr, Waskom, TX 75692-6814 Ph: (903) 926-4342 | Dedria Bryan, 476 Marcelene Dr, Waskom, TX 75692-6814 Ph: (903) 926-4342 |
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