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Contact Information

BRYAN R LUEDECKE, PHMNP-BC- MSN, RN
8334 CROSS PARK DR
AUSTIN, TX78754-5122
 Phone: 512-323-2622
 Fax: 512-323-2625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRYAN R LUEDECKE · (Male)

NPI Number 1700669462
Status Active
Credentials PHMNP-BC- MSN, RN
Entity Individual
Enumeration date 08/16/2023
Last updated 08/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1131904
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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