Provider Demographics
NPI:1497543953
Name:BRYANT, COURTNEY
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:BRYANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3997 FM 1836
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-8810
Mailing Address - Country:US
Mailing Address - Phone:469-297-8180
Mailing Address - Fax:469-297-7280
Practice Address - Street 1:3997 FM 1836
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-8810
Practice Address - Country:US
Practice Address - Phone:469-297-8180
Practice Address - Fax:469-297-7280
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility