Individual
BRYAN LENNON RUYGROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6414 FANNIN ST STE G150, HOUSTON, TX 77030-1514
(713) 486-7560
(713) 486-7512
Mailing address
7550 KIRBY DR APT 136, HOUSTON, TX 77030-4364
(410) 971-7885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13485
TX
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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