BRYANT FAMILY MEDICAL CLINIC P.A. NPI 1073640769

NPI Information

BRYANT FAMILY MEDICAL CLINIC, P.A. is a medical specialty clinic center in Bryant, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BRYANT FAMILY MEDICAL CLINIC, P.A. NPI is 1073640769. The provider is registered as an organization entity type.

The provider's business location address is:

408 OFFICE PARK DR STE 3
BRYANT, AR
ZIP 72022-536
Phone: (501) 847-2835
Fax: (501) 847-6809

The provider's authorized official is Gaelle Bryant .
The authorized official title is Business Manager and has the following contact phone number (501) 804-9712.

The CLIA number assigned to this NPI record is 04D0891906 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/28/2007 and was last updated on 7/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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