# GORDON BRUCE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295711901
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | J4011 | TX | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | J4011 | TX | Yes |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 12/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113281304 | — | TX |
| 05 | — | 113281305 | — | TX |
| 05 | — | 113281306 | — | TX |
| 05 | — | 113281307 | — | TX |
| 05 | — | 113281308 | — | TX |
| 05 | — | 113281309 | — | TX |
| 05 | — | 113281310 | — | TX |
| 05 | — | 113281311 | — | TX |
| 05 | — | 113281312 | — | TX |
| 05 | — | 113281313 | — | TX |