Bryan Spruill is a Medical in Texarkana, Texas. Bryan Spruill practices all healthcare services and medical treatments related to Medical. The NPI Number for Bryan Spruill is 1376652289. The last update date is 2011-06-07.
Bryan Spruill's current location address is 5002 Cowhorn Creek Rd, Texarkana, Texas. You can contact this provider via phone number 9036143008 and fax number 9036143525. The mailing address for Bryan Spruill is 5002 Cowhorn Creek Rd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Spruill |
|---|---|
| Address | 5002 Cowhorn Creek Rd, Texarkana, Texas |
| Phone Number | 9036143008 |
| Fax Number | 9036143525 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1376652289 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2011-06-07 |
Provider Mailing Address Detail
| Address | 5002 Cowhorn Creek Rd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755039766 |
| Phone Number | 9036143008 |
| Fax Number | 9036143525 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00599 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8N3469 | TX | BLUESHILED | |
| 847N26 | TX | BLUE CROSS BLUE SHIELD |
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What is the Bryan Spruill's unique identification number?
The Bryan Spruill has been assigned the NPI (National Provider Identifier) Number 1376652289 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Bryan Spruill located?
The Bryan Spruill is located at 5002 Cowhorn Creek Rd, Texarkana, TX 755039766.
What is the Bryan Spruill's area of specialization and corresponding taxonomy classification?
The Bryan Spruill's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Bryan Spruill receive the assignment of its 1376652289 from the Centers for Medicare & Medicaid Services?
The Bryan Spruill was issued its 1376652289 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information regarding Bryan Spruill, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryan Spruill, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-07.
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