Individual
SHELBY RYAN URRUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 S HAMPTON CT, BRYAN, TX 77801-3328
(979) 324-8999
Mailing address
3601 S HAMPTON CT, BRYAN, TX 77801-3328
(979) 324-9999
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82077
TX
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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