| Doctor Name: | MRS. LUDIVINA BRYANT |
| NPI Number: | 1245470541 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | 9/13/2007 1/8/2008 |
| License Number: | |
| Business Practice Address: | 332 W Sunset Rd Ste 2b San Antonio, TX - 782091755 |
| Business Phone Number: | 2108358319 |
| Business Fax Number: | 8307144222 |
| Mailing Address: | 332 W. Sunset Rd. #2b, SAN ANTONIO |
| State: | TX |
| Postal Code: | 78209 |
| Phone Number: | 2108358319 |
| Fax Number: | 8307144222 |
| NPI Enumeration Date: | 02/26/2009 |
| NPI Last Update Date: | 02/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |