Spruill, Bryan

Spruill, Bryan is an individual health care provider with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Spruill, Bryan can be contacted via phone (903) 614-3008.

Contact Information

Primary practice address
5002 Cowhorn Creek Rd Texarkana TX 75503-9766
Phone: (903) 614-3008
Fax: (903) 614-3525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00599 Texas

Profile Details

NPI number 1376652289
LBN Legal business name Spruill, Bryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 7th, 2011 - about 15 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 1376652289 NPPES
Texas Other 8N3469 BLUESHILED
Texas Other 847N26 BLUESHILED

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