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Contact Information

CHANNING W BRYANT, CRNA
2010 W KATHERINE P RAINES RD
CLEBURNE, TX76033
 Phone: 817-645-0471
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for CHANNING W BRYANT · (Male)

NPI Number 1588675557
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 08/11/2006
Last updated 06/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 613619
  • TX Medicaid 173844503
  • TX Medicaid 173844504
  • TX Other 88308U BCBS
  • TX Other P00479769 RAILROAD
Hospital affiliation(s)
  • BAYLOR SURGICAL HOSPITAL AT FORT WORTH - (Acute Care)
    1800 PARK PLACE AVENUE
    FORT WORTH, TX 76110
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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