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Individual

MR. KYLE STEVEN BRUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75285-0853
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
28670826
TX

Other

Enumeration date
08/13/2019
Last updated
02/12/2020
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