| Doctor Name: | DR. BRYAN LEE VANZANDT |
| NPI Number: | 1003132978 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | N2860 |
| Business Practice Address: | 4625 S Western Ave Oklahoma City, OK - 731093831 |
| Business Phone Number: | 4056322323 |
| Business Fax Number: | 4056319315 |
| Mailing Address: | 4005 24th St, LUBBOCK |
| State: | TX |
| Postal Code: | 794101815 |
| Phone Number: | 8067922767 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2010 |
| NPI Last Update Date: | 06/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | N2860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |