person
Bryan Spruill, PA
Medical Physician Assistant in Texarkana, Texas
NPI 1376652289

Bryan Spruill is a Medical Physician Assistant based in Texarkana, TX and is specialized in Medical. Bryan Spruill practices in Texarkana, TX and has the professional credentials of PA. The NPI Number for Bryan Spruill is 1376652289 and holds a License No. PA00599 (Texas).

The current practice location address for Bryan Spruill is 5002 Cowhorn Creek Rd, Texarkana, TX and can be reached out via phone at 903-614-3008 and via fax at 903-614-3525.

Location: 5002 Cowhorn Creek Rd, Texarkana, TX, 75503-9766
person
Provider Profile Details
NPI Number
1376652289
Provider Name
Bryan Spruill
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5002 Cowhorn Creek Rd, Texarkana, TX, 75503-9766
Phone Number
903-614-3008
Fax Number
903-614-3525
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N3469 01 TX BLUESHILED
847N26 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5002 Cowhorn Creek Rd
City
State
Zip
75503-9766
Phone Number
903-614-3008
Fax Number
903-614-3525
person
Provider Business Mailing Address Details
Address
5002 Cowhorn Creek Rd
City
State
Zip
75503-9766
Phone Number
903-614-3008
Fax Number
903-614-3525
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00599 (Texas)
Definition
Definition to come...
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