Individual provider · Type 1 NPI
Bryan Spruill, PA
Medical Physician Assistant · Texarkana, TX
NPI number
1376652289
Active
Practice location
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Fax (903) 614-3525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00599 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1376652289
Bryan Spruill, PA's National Provider Identifier is 1376652289, issued on Aug 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Texarkana, TX. The record was last updated on Jun 7, 2011.