Ryan, Bruce A

Ryan, Bruce A is an sole proprietor health care provider with primary practice located at 1501 N Navarro # C, Victoria TX 77901-6027. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ryan, Bruce A can be contacted via phone (361) 572-9113.

Contact Information

Primary practice address
1501 N Navarro # C Victoria TX 77901-6027
Phone: (361) 572-9113
Fax: (361) 572-9195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1039311 Texas

Profile Details

NPI number 1689605172
LBN Legal business name Ryan, Bruce A
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Aug 11th, 2011 - about 13 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 1689605172 NPPES
Texas MEDICAID 087704501
Texas MEDICAID 0877045-01

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