Provider Demographics
NPI:1306089115
Name:JUST, BRYAN PATRICK (DC, FNP-C)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:PATRICK
Last Name:JUST
Suffix:
Gender:M
Credentials:DC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 SHELDON CV STE 1E
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-6747
Mailing Address - Country:US
Mailing Address - Phone:512-522-4304
Mailing Address - Fax:
Practice Address - Street 1:1205 SHELDON CV STE 1E
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-6747
Practice Address - Country:US
Practice Address - Phone:512-522-4304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11151111N00000X
TXAP125373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor