Prukop, Bryan J

Prukop, Bryan J is an individual health care provider with primary practice located at 812 Lindberg Ave , Mcallen TX 78501-2930. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Prukop, Bryan J can be contacted via phone (956) 971-9107.

Contact Information

Primary practice address
812 Lindberg Ave Mcallen TX 78501-2930
Phone: (956) 971-9107
Fax: (956) 971-9109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1500 Texas

Profile Details

NPI number 1114922697
LBN Legal business name Prukop, Bryan J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114922697 NPPES
Texas MEDICAID 046355601

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