STEVENS PARK CLINIC MEDICAL GROUP
Marriage and Family Therapists at Colorado Blvd, Dallas, TX

License number
Texas K2425
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. KEVIN M BRYANT D.O.
Title: OWNER
Phone: (214) 943-4631
Address
Address
2100 W Colorado Blvd, Dallas, TX 75211
National Provider ID: 1326240839
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEVIN M BRYANT D.O. PA

2100 W Colorado Blvd, Dallas, TX 75211

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Kevin M Bryant D.O. PA<br>Stevens Park Clinic Medical Group
Registration:
Aug 13, 2002
State ID:
0800110765
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Kevin M. Bryant President , Treasurer , Secretary , Director , Member , Vice-President, inactive
Agent:
Mark J. Calabria,201 W Mulberry, Kaufman, TX 75142 (Physical)
TIN:
14120498796

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