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1225014897
BRYAN LEE MCCOY
FORT WORTH, TX
NPI
1225014897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA02987)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
Mr. BRYAN LEE MCCOY PA-C
1711 DOOLITTLE AVE
FORT WORTH, TX 76127-1133
Phone number: 817-782-5913
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Mailing Address
Mr. BRYAN LEE MCCOY PA-C
805 N KELSO AVE
KELSO, WA 98626-4230
Phone number: 360-425-2115
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