Individual
BRIAN ARCHULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1631 E 2ND ST STE D, AUSTIN, TX 78702-4491
(512) 804-3600
Mailing address
PO BOX 1334, PFLUGERVILLE, TX 78691-1334
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
320806
TX
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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