Individual
BRYAN PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8315 WALNUT HILL LN, SUITE 125, DALLAS, TX 75231-4218
(214) 363-6000
(214) 363-0068
Mailing address
8315 WALNUT HILL LN, SUITE 125, DALLAS, TX 75231-4218
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
H1403
TX
Other
Enumeration date
03/02/2007
Last updated
07/17/2007
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