Individual
JOHN BRUYERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-4275
(210) 625-5689
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S0263
TX
390200000X
Student in an Organized Health Care Education/Training Program
TRN 22838
FL
Other
Enumeration date
05/10/2016
Last updated
06/05/2023
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