Individual
BRYAN SPRUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3008
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3008
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
847N26
BLUE CROSS BLUE SHIELD
TX
01
—
8N3469
BLUESHILED
TX
Enumeration date
08/30/2006
Last updated
06/07/2011
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