Provider Demographics
NPI:1215749916
Name:BRYARS, KRISTAN (NBHWC)
Entity type:Individual
Prefix:
First Name:KRISTAN
Middle Name:
Last Name:BRYARS
Suffix:
Gender:F
Credentials:NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 MARKLEY DR
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77807-1504
Mailing Address - Country:US
Mailing Address - Phone:303-901-0781
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTHWESTERN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3568
Practice Address - Country:US
Practice Address - Phone:855-954-6876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program