Individual
ARIE J BRONKHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO,LO,LPA
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 306, AUSTIN, TX 78723-3080
(512) 459-0011
(512) 459-9522
Mailing address
1301 BARBARA JORDAN BLVD STE 306, AUSTIN, TX 78723-3080
(512) 459-0011
(512) 459-9522
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
159
TX
363A00000X
Physician Assistant
1139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79427303
—
TX
Enumeration date
04/03/2009
Last updated
04/03/2009
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