Individual
MR. BRYAN REID LUEDECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHMNP-BC- MSN, RN
Contact information
Practice address
8334 CROSS PARK DR, AUSTIN, TX 78754-5122
(512) 323-2622
(512) 323-2625
Mailing address
12800 HARRISGLENN DR APT 1212, AUSTIN, TX 78753-5336
(361) 782-9060
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1131904
TX
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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