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Mr. Barry Douglas Bronner, OTR
Specialist in Waco, Texas
NPI 1568505485

Barry Douglas Bronner is a Specialist based in Waco, TX. Barry Douglas Bronner practices in Waco, TX and has the professional credentials of OTR. The NPI Number for Barry Douglas Bronner is 1568505485 and holds a License No. 106497 (Texas).

The current practice location address for Barry Douglas Bronner is 4800 Memorial Dr, Waco, TX and can be reached out via phone at 254-297-3770 and via fax at 254-297-3875.

Location: 4800 Memorial Dr, Waco, TX, 76708-1946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568505485
Provider Name
Barry Douglas Bronner
Credential
OTR
Provider Entity Type
Individual
Gender
Male
Address
4800 Memorial Dr, Waco, TX, 76708-1946
Phone Number
254-297-3770
Fax Number
254-297-3875
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4800 Memorial Dr
City
Waco
State
Texas
Zip
76711-1329
Phone Number
254-297-3770
Fax Number
254-297-3875
person
Provider Business Mailing Address Details
Address
4800 Memorial Dr
City
Waco
State
Texas
Zip
76711-1329
Phone Number
254-297-3770
Fax Number
254-297-3875
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
106497 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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