Individual provider Active NPI

Techa Bryant

  • Family Nurse Practitioner
  • Deer Park, TX
National Provider Identifier
1801666243
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1152454 Issued in TX
Practice address
3505 Center St
Deer Park, TX 77536-5078
Phone
(281) 476-3460
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1152454 TX
Family Nurse Practitioner 363LF0000X 1152454 TX Primary

Addresses

Primary practice location

3505 Center St
Deer Park, TX 77536-5078

Mailing address

4131 N Webber Dr
Pearland, TX 77584-9412
Phone (713) 962-3868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240418003612 TX Practitioner - Nurse Practitioner 4385083633 Reassigns benefits to 3 organizations
I20251024000771 NM Practitioner - Nurse Practitioner 4385083633 Reassigns benefits to 1 organization
I20251028002674 AZ Practitioner - Nurse Practitioner 4385083633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1640 Boro PL
FL 4
MC Lean, VA 22102-3626

3413 Perryville Rd
Danville, KY 40422-8833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1152454TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Jun 2, 2025 Accepting new patients
Proactive Medical and Wellness Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Affect Therapeutics, Inc. CurrentSince Aug 15, 2025 Accepting new patients
Affect Therapeutics Inc Psychiatric/Mental Health CurrentSince Jun 27, 2025 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients

Locations

8880 E Speedway Blvd
Ste 203
Tucson, AZ 85710
Phone (323) 601-0900

1202 Central Ave SW
Ste 19
Albuquerque, NM 87102

16821 Buccaneer Ln
Ste 200
Houston, TX 77058
Phone (713) 725-5992

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

3800 Paluxy Dr
Ste 404
Tyler, TX 75703

1640 Boro Pl
Fl 4
Tysons, VA 22102
Phone (571) 440-1887

Interoperability endpoints

  • Direct secure messaging: tbryant19436@direct-prd.molinahealthcare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1801666243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 N WEBBER DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849412",
            "telephone_number": "713-962-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CENTER ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775365078",
            "telephone_number": "281-476-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "TECHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1152454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1152454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

Verify at the official NPI Registry.