Provider Demographics
NPI:1649203696
Name:BRYCE, LOUISE MICHELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:MICHELLE
Last Name:BRYCE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8262 HAWKS RD
Mailing Address - Street 2:BLDG 1184
Mailing Address - City:BROOKS CITY-BASE
Mailing Address - State:TX
Mailing Address - Zip Code:78235-5147
Mailing Address - Country:US
Mailing Address - Phone:210-526-4007
Mailing Address - Fax:210-536-1899
Practice Address - Street 1:8050 LINDBERGH LNDG
Practice Address - Street 2:
Practice Address - City:BROOKS CITY-BASE
Practice Address - State:TX
Practice Address - Zip Code:78235-5334
Practice Address - Country:US
Practice Address - Phone:210-536-2859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO 3702083A0100X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Not Answered2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine