| Bryan H. Minton, Md, Pa | |
|
1422 W Main St Suite 100a Lewisville TX 75067-3387 | |
| (972) 221-3924 | |
| Not Available |
| Full Name | Bryan H. Minton, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1422 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Suzan Burton (OFFICE MGR.) |
| Authorized Official Contact | 9722213924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan H. Minton, Md, Pa Po Box 844128 Dallas TX 75284 Ph: (972) 860-8648 | Bryan H. Minton, Md, Pa 1422 W Main St Suite 100a Lewisville TX 75067-3387 Ph: (972) 221-3924 |
| NPI Number | 1679764286 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 04/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679764286 | NPI | - | NPPES |
| 152189002 | Medicaid | TX | |
| 470855656 | Other | TX | TAX INDENTIFIER NUMBER |
| 009QP | Other | TX | BCBSTX |
| DC1194 | Other | RAILROAD MEDICARE, GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L2475 (Texas) | Primary |
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