Individual provider · Type 1 NPI
Johnny Bryant, REVERAND
Driver · Houston, TX
NPI number
1104157551
Active
Practice location
9797 Meadowglen Ln
Houston, TX 77042-4626
Mailing address
PO Box 740803
Houston, TX 77274-0803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 172A00000X (TX) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1104157551
Johnny Bryant, REVERAND's National Provider Identifier is 1104157551, issued on Jan 26, 2010. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Houston, TX. The record was last updated on Jan 26, 2010.