Provider Demographics
NPI:1548622129
Name:BRYANT, FRANCHESCA D (MED)
Entity type:Individual
Prefix:
First Name:FRANCHESCA
Middle Name:D
Last Name:BRYANT
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5514 BROOKLYN ROSE DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-4663
Mailing Address - Country:US
Mailing Address - Phone:832-881-2033
Mailing Address - Fax:
Practice Address - Street 1:5514 BROOKLYN ROSE DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-4663
Practice Address - Country:US
Practice Address - Phone:832-881-2203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1548622129Medicaid