| Arie J Bronkhorst, CO,LO,LPA | |
|
1301 Barbara Jordan Blvd Ste 306, Austin, TX 78723-3080 | |
| (512) 459-0011 | |
| (512) 459-9522 |
| Full Name | Arie J Bronkhorst |
|---|---|
| Gender | Male |
| Speciality | Orthotist |
| Location | 1301 Barbara Jordan Blvd Ste 306, Austin, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528200623 | NPI | - | NPPES |
| 79427303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1139 (Texas) | Secondary |
| 222Z00000X | Orthotist | 159 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Arie J Bronkhorst, CO,LO,LPA 1301 Barbara Jordan Blvd Ste 306, Austin, TX 78723-3080 Ph: (512) 459-0011 | Arie J Bronkhorst, CO,LO,LPA 1301 Barbara Jordan Blvd Ste 306, Austin, TX 78723-3080 Ph: (512) 459-0011 |