Individual
RUSTON BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
612 N HIGH ST STE A, HENDERSON, TX 75652-5914
(903) 657-1441
(903) 655-1442
Mailing address
323 E HAWKINS PKWY, SUITE A, LONGVIEW, TX 75605-7905
(903) 758-2746
(903) 758-8723
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00621
TX
Other
Enumeration date
06/12/2006
Last updated
05/30/2019
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