Individual
DR. BRYAN J PRUKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
812 LINDBERG AVE, MCALLEN, TX 78501-2930
(956) 971-9107
(956) 971-9109
Mailing address
812 LINDBERG AVE, MCALLEN, TX 78501-2930
(956) 971-9107
(956) 971-9109
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046355601
—
TX
Enumeration date
06/20/2005
Last updated
06/12/2024
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