Individual
DERYCK BRYAN LOPEZ GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12413 JUDSON RD STE 260, LIVE OAK, TX 78233-3262
(210) 656-7953
(210) 656-7957
Mailing address
12413 JUDSON RD STE 260, LIVE OAK, TX 78233-3262
(210) 656-7953
(210) 656-7957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1389387
TX
Other
Enumeration date
11/20/2023
Last updated
02/13/2024
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